Individual
JAMES COOKE BIEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2098 TREMONT CTR, COLUMBUS, OH 43221-3108
(614) 486-5205
(614) 486-0354
Mailing address
2098 TREMONT CTR, COLUMBUS, OH 43221-3108
(614) 486-5205
(614) 486-0354
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2756 T356
OH
152WC0802X
Corneal and Contact Management Optometrist
2756 T356
OH
152WS0006X
Sports Vision Optometrist
2756 T356
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000116894
ANTHEM BC/BS PROVIDER ID#
OH
01
—
0286870002
DMESN
OH
05
—
0699070
—
OH
01
—
2200043
UNITED HEALTHCARE ID#
OH
01
—
946058
AETNA INS. PROVIDER ID#
OH
Enumeration date
08/11/2005
Last updated
06/17/2010
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