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Individual

DR. ROBERT THOMAS NIBLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

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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