Individual
DR. ROBERT THOMAS NIBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
801 SHIFFLER AVE, WILLIAMSPORT, PA 17701-3733
(570) 322-7156
(570) 322-9775
Mailing address
801 SHIFFLER AVE, WILLIAMSPORT, PA 17701-3733
(570) 322-7156
(570) 322-9775
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000017
PA
152WC0802X
Corneal and Contact Management Optometrist
OEG000017
PA
152WP0200X
Pediatric Optometrist
OEG000017
PA
152WV0400X
Vision Therapy Optometrist
OEG000017
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072780
FIRST PRIORITY HEALTH
PA
01
—
396107
NATIONAL VISION ASSOCIATI
PA
01
—
8440
GEISINGER HEALTH PLAN
PA
01
—
NI575108
BLUE SHIELD
PA
Enumeration date
02/19/2007
Last updated
03/08/2024
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