Individual provider Active NPI

Reed Thomas Gibb, O.D.

  • Optometrist
  • St George, UT
National Provider Identifier
1568569721
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5346530-9934 Issued in UT
Practice address
754 S Main St Ste 6
St George, UT 84770-5518
Phone
(435) 634-0420
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5346530-9934 UT Primary

Addresses

Primary practice location

754 S Main St Ste 6
St George, UT 84770-5518

Mailing address

754 S Main St Ste 6
St George, UT 84770-5518
Phone (435) 634-0420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20041022000957 UT Practitioner - Optometry 1658332671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

754 S Main St
St George, UT 84770-5518
Phone (435) 634-0420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5346530-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Red Cliffs Eye Center, PLLC Optometrist CurrentSince May 1, 2023 Accepting new patients
Jeffery D Graf OD PC Optometrist CurrentSince Jun 11, 2023 Accepting new patients
Sharon Richens MD Eye Physician & Surgeon PC PastSince Apr 17, 2018 Accepting new patients

Locations

754 S Main St
Ste 6
St George, UT 84770
Phone (435) 634-0420

Interoperability endpoints

  • Direct secure messaging: rgibb@grafmedicaleyecare.direct.eyemdemr.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1568569721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 S MAIN ST STE 6",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705518",
            "telephone_number": "435-634-0420",
            "fax_number": "435-634-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 S MAIN ST STE 6",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705518",
            "telephone_number": "435-634-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBB",
        "first_name": "REED",
        "middle_name": "THOMAS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "5346530-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.