Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW IBISCH, OD
Active Sole ProprietorANDREW IBISCH, OD is a Optometrist healthcare provider located in GODFREY, Illinois. NPI 1700356912 is currently active in the NPPES registry. Verify at CMS.
Optometrist · GODFREY, IL
Registration Details
- NPI Number
- 1700356912
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 30, 2018 (7.6681650329761 yrs)
- Last Updated
- Dec 17, 2018
- License
-
046.011262 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1310 DADRIAN PROF PARKGODFREY, IL, 620351685Browse IL providers · Browse ZIP 62035
- Phone
- 6184335005
- Fax
- 6184671053
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in GODFREY, IL
| Name | Credential | NPI |
|---|---|---|
| RON LOFLIN | O.D. | 1720170921 |
| ADEYINKA A ADEWALE | O.D. | 1467533661 |
| DR. MARK EDWARD FERGUSON | O.D. | 1598897456 |
| DR. KEITH LYSTON | O.D. | 1861614810 |
| BRADLEY D MARTINSON | OD | 1174774079 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.