Tyson Gibbons, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

007255 Issued in OH

Practice address

14 University Estates Blvd Ste 100
Athens, OH 45701-3375

Phone

(740) 594-2271

Fax

(740) 594-2270

NPI assigned

Sep 6, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athens Eye Care LLCGroup PAC ID 4981666880, 5 clinicians

Hocking Hills Eye Care LLCGroup PAC ID 2062837701, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Athens Eye Care, LLC

  • Optometrist
  • Athens, OH
  • NPI 1023068228
  Medicare reassignment Care Compare group NPD
• Hocking Hills Eye Care LLC

  • Optometrist
  • Logan, OH
  • NPI 1821615352
  Medicare reassignment Care Compare group NPD
• Anestexia LLC

  • Anesthesiology Physician
  • San Antonio, TX
  • NPI 1457004244
  NPD (past)
• Refractive Surgery & Diagnostic Center PLLC

  • Ophthalmology Physician
  • San Antonio, TX
  • NPI 1639419013

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1245016047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 UNIVERSITY ESTATES BLVD STE 100",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457013375",
            "telephone_number": "740-594-2271",
            "fax_number": "740-594-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 UNIVERSITY ESTATES BLVD STE 100",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457013375",
            "telephone_number": "740-594-2271",
            "fax_number": "740-594-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "TYSON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-06",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10989",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "007255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody M Gerome, D.O.
• Crystal Geyer
• Ahmed Mohammed Ghany, M.D.
• Jennifer Gholston
• Regina L Giardino, QMHS 3
• Angela Gibbs, IECMH CONSULT
• Jordan Gibbs
• Christine Ann Gidycz, PH.D.
• Zoe Gilbert
• Taci A Gildow

• Optometrist in Athens, OH
• Providers in Athens, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.