Provider Demographics
NPI:1841294550
Name:JAMES C BIEBER OD
Entity type:Organization
Organization Name:JAMES C BIEBER OD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:COOKE
Authorized Official - Last Name:BIEBER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:614-486-5205
Mailing Address - Street 1:2098 TREMONT CENTER
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221
Mailing Address - Country:US
Mailing Address - Phone:614-486-5205
Mailing Address - Fax:614-486-0354
Practice Address - Street 1:2098 TREMONT CENTER
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221
Practice Address - Country:US
Practice Address - Phone:614-486-5205
Practice Address - Fax:614-486-0354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-09
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2756T356152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2155493Medicaid
OH0699070Medicaid
OH0286870002Medicare NSC
OH9306291Medicare PIN
OH0699070Medicaid
B10157744Medicare PIN