Active NPI
Mark C Gibson, OD
- Optometrist
- McKinney, TX
National Provider Identifier
1437133444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4472TG
- Practice address
- 8080 State Highway 121 Ste 110
McKinney, TX 75070-2903 - Phone
- (469) 242-2020
- Fax
- (469) 754-0420
- NPI assigned
- Dec 2, 2005
- Last updated
- Sep 9, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4472TG | TX | Primary |
Addresses
Primary practice location
8080 State Highway 121 Ste 110
McKinney, TX 75070-2903
Mailing address
8080 State Highway 121 Ste 110
McKinney, TX 75070-2903
Phone (469) 242-2020
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Phone (580) 354-5000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.09 of 100
- Quality
- 86.9
- Improvement activities
- 40
- Cost
- 74.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4472 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 4472TG | TX | MD | Optometrist |
| 1046 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carnegie Indian Health Center | Current | Accepting new patients | |
| Tylock-George Cosmetic PA | Current | Accepting new patients | |
| Lawton Indian Hospital | Current | Accepting new patients | |
| Anadarko Indian Health Center | Current | Accepting new patients | |
| John D. Coble | Optometrist | Past | Accepting new patients |
Locations
212 E 4th St
Carnegie, OK 73015
Phone (580) 654-1100
1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350
3100 N MacArthur Blvd
Irving, TX 75062
Phone (972) 258-6400
Organizations & group practices 5
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.
-
- Ambulatory Surgical Clinic/Center
- Irving, TX
- NPI 1689498982
-
dba Eyecare of Greenville
- Medical Specialty Clinic/Center
- Greenville, TX
- NPI 1851403877
Optometrist
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Federal Public Health Clinic/Center
- Anadarko, OK
- NPI 1881637403
Hospital
-
- Federal Public Health Clinic/Center
- Carnegie, OK
- NPI 1457459158
Hospital
-
- Federal Public Health Clinic/Center
- Clinton, OK
- NPI 1205923448
Hospital
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1760489223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1437133444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8080 STATE HIGHWAY 121 STE 110",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750702903",
"telephone_number": "469-242-2020",
"fax_number": "469-754-0420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8080 STATE HIGHWAY 121 STE 110",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750702903",
"telephone_number": "469-242-2020",
"fax_number": "469-754-0420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "MARK",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "4472TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.