Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY P GIBSON, OD
ActiveDR. JERRY P GIBSON, OD is a Optometrist healthcare provider located in RIVERSIDE, Iowa. NPI 1508185554 is currently active in the NPPES registry. Verify at CMS.
Optometrist · RIVERSIDE, IA
Registration Details
- NPI Number
- 1508185554
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 28, 2010 (16.191676570116 yrs)
- Last Updated
- Dec 9, 2015
- License
-
1502 (IA)
Practice Information
- Address
-
3140 WHITE OAK CRRIVERSIDE, IA, 52327Browse IA providers · Browse ZIP 52327
- Phone
- 3196482224
- Primary Specialty
-
Optometrist
152W00000X
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.