Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KAITLYN RENAE GIBSON, OD
ActiveDR. KAITLYN RENAE GIBSON, OD is a Optometrist healthcare provider located in CEDAR LAKE, Indiana. NPI 1992319719 is currently active in the NPPES registry. Verify at CMS.
Optometrist · CEDAR LAKE, IN
Registration Details
- NPI Number
- 1992319719
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2020 (5.9471328730113 yrs)
- Last Updated
- Aug 31, 2020
- License
-
18004243A (IN)
Practice Information
- Address
-
13115 WICKER AVE STE ECEDAR LAKE, IN, 463037400Browse IN providers · Browse ZIP 46303
- Phone
- 2193747800
- Fax
- 2193745196
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in CEDAR LAKE, IN
| Name | Credential | NPI |
|---|---|---|
| MRS. BRITTANY RAE DISTERHEFT | OD | 1760906135 |
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.