Individual
DR. BYRON J NIBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
140 MAIN ST, OAK HILL, WV 25901
(304) 469-6711
(304) 465-8332
Mailing address
140 MAIN ST, OAK HILL, WV 25901
(304) 469-6711
(304) 465-8332
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
737OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012610000
—
WV
01
—
1450173
UMWA FUNDS
—
01
—
550614245002
BCBS
—
Enumeration date
01/10/2006
Last updated
12/03/2010
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