Healthcare Provider Details

I. General information

NPI: 1841294550
Provider Name (Legal Business Name): JAMES C BIEBER OD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 06/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2098 TREMONT CENTER
COLUMBUS OH
43221
US

IV. Provider business mailing address

2098 TREMONT CENTER
COLUMBUS OH
43221
US

V. Phone/Fax

Practice location:
  • Phone: 614-486-5205
  • Fax: 614-486-0354
Mailing address:
  • Phone: 614-486-5205
  • Fax: 614-486-0354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2756T356
License Number StateOH

VIII. Authorized Official

Name: DR. JAMES COOKE BIEBER
Title or Position: OWNER
Credential: DO
Phone: 614-486-5205