Provider Demographics
NPI:1669694089
Name:BICKEL, PETER WILLIAM (OD)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:WILLIAM
Last Name:BICKEL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 HILL RD N
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-8887
Mailing Address - Country:US
Mailing Address - Phone:614-575-8020
Mailing Address - Fax:614-837-9966
Practice Address - Street 1:1121 HILL RD N
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-8887
Practice Address - Country:US
Practice Address - Phone:614-575-8020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3648152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist