Individual
DR. STUART WILLIAM NIEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD1214
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3125709
BLUE CROSS BLUE SHIELD TN
TN
Enumeration date
05/22/2006
Last updated
03/17/2011
Update your record
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