Provider Demographics
NPI:1174525463
Name:BIBLER, LINDSAY W (MD)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:W
Last Name:BIBLER
Suffix:
Gender:F
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 631662
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-1662
Mailing Address - Country:US
Mailing Address - Phone:859-581-7120
Mailing Address - Fax:859-581-7207
Practice Address - Street 1:8040 HOSBROOK RD
Practice Address - Street 2:STE 100
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2908
Practice Address - Country:US
Practice Address - Phone:513-891-0473
Practice Address - Fax:513-891-0543
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.049087207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0609381Medicaid
180021897OtherMEDICARE RAILROAD
IN200119210Medicaid
OHA15599Medicare UPIN
IN200119210Medicaid
OH0542239Medicare PIN