Provider Demographics
NPI:1548260300
Name:LIMBIRD, ROBERT L (OD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:L
Last Name:LIMBIRD
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 1:400 INDEPENDENCE DR
Mailing Address - Street 2:P.O. BOX 587
Mailing Address - City:NAPOLEON
Mailing Address - State:OH
Mailing Address - Zip Code:43545-9677
Mailing Address - Country:US
Mailing Address - Phone:419-599-4541
Mailing Address - Fax:419-592-0901
Practice Address - Street 1:400 INDEPENDENCE DR
Practice Address - Street 2:
Practice Address - City:NAPOLEON
Practice Address - State:OH
Practice Address - Zip Code:43545-9677
Practice Address - Country:US
Practice Address - Phone:419-599-4541
Practice Address - Fax:419-592-0901
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3296 T835152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000115627OtherBC/BS
OH03059OtherPARAMONT
OH0332965Medicaid
OH0332965Medicaid
OH000000115627OtherBC/BS
OHLI0440453Medicare PIN