Individual
DR. DAVID HENRY BIBERDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2023
MN
152W00000X
Optometrist
Primary
470
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140630
U CARE MN
—
01
—
2200440
MEDICA
—
01
—
308723900
MN DEPT OF HUMAN
—
05
—
308723900
—
MN
01
—
410016499
MEDICARE RAILROAD
—
01
—
59775BI
BCBS MN
MN
01
—
59775BI
BLUE PLUS OF MN
—
01
—
60081
ND DEPT OF HUMAN
—
01
—
60397
VOCATIONAL REHAB CENTER
—
05
—
60397
—
MD
01
—
BIB800470
VISION SERVICES INC
—
01
—
BIB8881
BCBS ND
ND
01
—
BIB8881
BLUE SHIELD OF ND VISION
—
Enumeration date
11/02/2006
Last updated
02/07/2025
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