Tyrone Aaron Gibson, A.B.O.C.

Primary specialty

OpticianTaxonomy code 156FX1800X

Practice address

5014 Virginia Ave Apt 2W
Saint Louis, MO 63111-1739

Phone

(202) 487-1337

NPI assigned

Oct 3, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1285885673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5014 VIRGINIA AVE APT 2W",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631111739",
            "telephone_number": "202-487-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5014 VIRGINIA AVE APT 2W",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631111739",
            "telephone_number": "202-487-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "TYRONE",
        "middle_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "A.B.O.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy E Gibson, RPH
• Nicole Gibson, PHARM.D.
• Paul H Gibson, MD
• Rada Gibson
• Tracey Gibson, RNFA
• Connie Francis Gibstine, M.D.
• Stephen James Giddings, MD
• Nadia Muktar Gidia, MD
• Jeanne Marie Giebe, RN, NNP
• Andrea Marie Giedinghagen, MD

• All providers in Saint Louis, MO
• Optician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.