Robert T Nibleod

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000017 Issued in PA

Legal business name

ROBERT T NIBLEOD

Practice address

801 Shiffler Ave
Williamsport, PA 17701-3733

Phone

(570) 322-7156

NPI assigned

May 16, 2008

Last updated

May 16, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Thomas Nible, ODNPI 1487798658

Title

Owner

Phone

(570) 322-7156

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Thomas Nible, O.D.

  • Optometrist
  • Williamsport, PA
  • NPI 1487798658
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1821255951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SHIFFLER AVE",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013733",
            "telephone_number": "570-322-7156",
            "fax_number": "570-322-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SHIFFLER AVE",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013733",
            "telephone_number": "570-322-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT T NIBLEOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "NIBLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-322-7156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.