IndividualActive
Andrew Bibo, OD
NPI 1063859155 · Optometrist · Farmington, UT
Provider details
- NPI number
- 1063859155
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8674084-9934 (UT)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
991 Shepard Ln
Ste 105
Farmington, UT 84025-2973
Phone: (801) 923-3145
Approximate (ZIP-level) locationGet directions
Mailing address
991 Shepard Ln
Farmington, UT 84025-2973
Registry dates
- Enumerated
- 2013-05-29
- Last updated
- 2021-07-07
- Certified
- 2021-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.