MEDICARE: DR. ROBERT L. LIMBIRD O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	3296 T835	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000115627	OTHER	OH	BC/BS
2	03059	OTHER	OH	PARAMONT
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548260300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT L. LIMBIRD O.D.

Provider Business Mailing Address
First Line	:	400 INDEPENDENCE DR
Second Line	:	P.O. BOX 587
City	:	NAPOLEON
State	:	OH
Zip	:	43545-9677
Country	:	US
Telephone Number	:	419-599-4541
Fax Number	:	419-592-0901

Provider Business Practice Location Address
First Line	:	400 INDEPENDENCE DR
Second Line	:
City	:	NAPOLEON
State	:	OH
Zip	:	43545-9677
Country	:	US
Telephone Number	:	419-599-4541
Fax Number	:	419-592-0901

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	11/25/2008

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