Organization
ROBERT F. DIBBLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT F DIBBLE M.D. (OWNER)
(860) 423-2111
Entity
Organization
Contact information
Practice address
1120 MAIN ST, WILLIMANTIC, CT 06226-2014
(860) 423-2111
(860) 423-7559
Mailing address
1120 MAIN ST, WILLIMANTIC, CT 06226-2014
(860) 423-2111
(860) 423-7559
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
002357
CT
152W00000X
Optometrist
002698
CT
207W00000X
Ophthalmology Physician
Primary
030376
CT
Other
Enumeration date
10/13/2006
Last updated
06/11/2015
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