Dr. Danny Ralph Dibble
Optometrist
112 S Clay St
Greenville
, Michigan 48838-1914
Dr. Danny Ralph Dibble
Optometrist
112 S Clay St
Greenville
, Michigan 48838-1914
(616) 954-0213
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Danny Ralph Dibble
- 750 E Beltline Ave Ne
- Grand Rapids, MI
- Zip : 49525-6049
- Fax : (616) 954-0213
- Phone : (616) 949-2600
Second Address
- Dr. Danny Ralph Dibble
- 112 S Clay St
- Greenville, MI
- Zip : 48838-1914
- Fax : (616) 754-3071
- Phone : (616) 754-5667
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901002126 | MI |
National Provider Identifier
| NPI | 1003810870 |
|---|---|
| Provider Name | Dr. Danny Ralph Dibble |
| First Address | Grand Rapids, MI 49525-6049 |
| Second Address | Greenville, MI 48838-1914 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5009340 | (05) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.