Cheryl and Steve Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

CHERYL AND STEVE INC.

Doing business as

Gibson Optical

Practice address

1620 Highway 15 N Ste a
Laurel, MS 39440-1892

Phone

(601) 425-3173

Fax

(601) 425-3094

NPI assigned

Dec 5, 2006

Last updated

Dec 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steve Gibson

Title

Owner

Phone

(601) 425-3173

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gibson Optical Doing business as

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1225196736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 HIGHWAY 15 N STE A",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401892",
            "telephone_number": "601-425-3173",
            "fax_number": "601-425-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 HIGHWAY 15 N STE A",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401892",
            "telephone_number": "601-425-3173",
            "fax_number": "601-425-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL AND STEVE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-425-3173",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880089",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gibson Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.