Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GUSTAF ISAAC GIBSON, O.D.
Active Sole ProprietorDR. GUSTAF ISAAC GIBSON, O.D. is a Optometrist healthcare provider located in LOGAN, Utah. NPI 1215917307 is currently active in the NPPES registry. Verify at CMS.
Optometrist · LOGAN, UT
Registration Details
- NPI Number
- 1215917307
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2006 (20.529855655564 yrs)
- Last Updated
- Jun 15, 2023
- Licenses
-
2994T (OR)5823517-9934 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
145 W CACHE VALLEY BLVDLOGAN, UT, 843418473Browse UT providers · Browse ZIP 84341
- Phone
- 4357879273
- Fax
- 4357879275
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in LOGAN, UT
| Name | Credential | NPI |
|---|---|---|
| DR. KEVIN MARK ELLSWORTH | O.D. | 1669457024 |
| DR. ALAN HASTINGS | O.D. | 1679523245 |
| JEFFREY L CROMWELL | O.D. | 1801902333 |
| DR. MATTHEW DALE PARRY | O.D. | 1639256670 |
| DR. JEFF H SEEHOLZER | O.D | 1326196569 |
| REBECCA LYNN FREEMAN | O.D. | 1174789721 |
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.