Individual
DR. JOHN ROBERT SCIBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
570 PAMLICO PLZ, WASHINGTON, NC 27889-3337
(252) 948-2680
Mailing address
1102 SHEPARD ST, MOREHEAD CITY, NC 28557-4155
(252) 349-4051
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1125
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8909812
—
NC
Enumeration date
04/10/2007
Last updated
05/27/2022
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