Individual
DR. MICHAEL C NOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTOMETRIC DOCTOR
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1651D
OR
152W00000X
Optometrist
Primary
OD00001563
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2015485
—
WA
01
—
NO1023
REGENCE BLUE SHIELD
WA
Enumeration date
05/19/2006
Last updated
12/18/2009
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