Individual
JASON D SIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12 MARTIN ST, WELLSVILLE, NY 14895-1057
(585) 593-6041
(585) 593-4919
Mailing address
12 MARTIN ST, WELLSVILLE, NY 14895-1057
(585) 593-6041
(585) 593-4919
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT006401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115176CS
PREF CARE, PREF GOLD
NY
Enumeration date
06/20/2006
Last updated
09/14/2010
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