MEDICARE: DR. JAMES GEORGE LIMBERT MD

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	207W00000X	Ophthalmology Physician	35-03-6227-L	OH

General Provider Information

NPI Number	:	1730173782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES GEORGE LIMBERT MD

Provider Business Mailing Address
First Line	:	PO BOX 490
Second Line	:
City	:	BLACKLICK
State	:	OH
Zip	:	43004-0490
Country	:	US
Telephone Number	:	614-863-1433
Fax Number	:	614-863-1209

Provider Business Practice Location Address
First Line	:	5320 E MAIN ST
Second Line	:	SUITE 100
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2573
Country	:	US
Telephone Number	:	614-863-1433
Fax Number	:	614-863-1209

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

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	08/15/2011

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