Provider Demographics
NPI:1457440620
Name:BIBER, JOSEPH MOORE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MOORE
Last Name:BIBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60160
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0160
Mailing Address - Country:US
Mailing Address - Phone:704-365-0555
Mailing Address - Fax:704-367-8122
Practice Address - Street 1:135 S SHARON AMITY RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-2842
Practice Address - Country:US
Practice Address - Phone:704-365-0555
Practice Address - Fax:704-367-8124
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2010-00311207WX0120X, 207W00000X
KY42785207W00000X
OH35.093262207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000612615OtherBCBS
NCP00929142OtherMEDICARE RAILROAD
IN200939260Medicaid
OH29030234Medicaid
NC5914343Medicaid
KY7100075780Medicaid
KY7100075780Medicaid
NC5914343Medicaid
NC2484646Medicare PIN