Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY GENE SISSON, OD
ActiveDR. GARY GENE SISSON, OD is a Optometrist healthcare provider located in ST JOSEPH, Michigan. NPI 1912048208 is currently active in the NPPES registry. Verify at CMS.
Optometrist · ST JOSEPH, MI
Registration Details
- NPI Number
- 1912048208
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 9, 2007 (19.502269153746 yrs)
- Last Updated
- Jun 26, 2008
- License
-
4901002192 (MI)
Practice Information
- Address
-
2904 DIVISION STREETST JOSEPH, MI, 49085Browse MI providers · Browse ZIP 49085
- Phone
- 2699832020
- Fax
- 2699833651
- 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.