Dr. Nikole L Himebaugh, O.D.
Optometrist in Bloomington, IN. Individual provider (NPI-1).
NPI number1760664254
StatusActive
Last updated in NPPESOct 21, 2015
Details
- NPI
- 1760664254
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nikole L Himebaugh
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 27, 2007
- Last updated
- Oct 21, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 18002749 | IN | Yes |
Practice location
800 E Atwater AveBloomington, IN 47405-3635
Phone 812-855-4447
Mailing address
800 E Atwater AveBloomington, IN 47405-3635
Phone 812-855-4447
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