Charles Robert Gibson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

04082TG Issued in TX

Practice address

555 E Medical Center Blvd
Suite 101
Webster, TX 77598-4326

Phone

(281) 488-7213

Fax

(281) 480-1623

NPI assigned

Jun 8, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Houston - College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Coastal Eye Associates PLLCGroup PAC ID 2264479112, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/Freedom_CEA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Eye Associates PLLC

  • Ophthalmology Physician
  • Webster, TX
  • NPI 1922070036

  Optometrist

  Medicare reassignment Care Compare group NPD
• Aeg Texas Professional PLLC

  • Optometrist
  • Kerrville, TX
  • NPI 1457905937
  Medicare reassignment Care Compare group
• South Shore Eye Center LLC

  • Optometrist
  • League City, TX
  • NPI 1871655118
  Medicare reassignment NPD
• Coastal Eye Associates

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1417356494
  NPD
• Coastal Eye Associates, PLLC

  • Ophthalmology Physician
  • Alvin, TX
  • NPI 1407980725

  Optometrist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1205830262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E MEDICAL CENTER BLVD",
            "address_2": "SUITE 101",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984326",
            "telephone_number": "281-488-7213",
            "fax_number": "281-488-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E MEDICAL CENTER BLVD",
            "address_2": "SUITE 101",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984326",
            "telephone_number": "281-488-7213",
            "fax_number": "281-480-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "CHARLES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "04082TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124557301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sidharth Nonesupplied Ghosh, MD
• Subrata Ghosh, M.D.
• Nour Ghosoun, MD
• Markus Giacomuzzi, DPM
• Jeffrey B Gibberman, MD
• David Paul Gill, MD
• Nancy F. Gioielli, PTA
• Alivya Samone Gipson
• Nima Goharkhay, MD, PHD
• Jason Asher Goldberg, MD

• Optometrist in Webster, TX
• Providers in Webster, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.