Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROY RAYMOND GIBSON, O.D.
ActiveROY RAYMOND GIBSON, O.D. is a Optometrist healthcare provider located in RIVERDALE, Utah. NPI 1104816743 is currently active in the NPPES registry. Verify at CMS.
Optometrist · RIVERDALE, UT
Registration Details
- NPI Number
- 1104816743
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2005 (20.775169761384 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
1130289934 (UT)1130288904 (UT)
Practice Information
- Address
-
4949 S 900 WRIVERDALE, UT, 844053777Browse UT providers · Browse ZIP 84405
- Phone
- 8016210480
- Fax
- 8016123485
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in RIVERDALE, UT
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID BOYLE BURNETT | O.D. | 1073520680 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.