Organization Active NPI

David R. Gibson, O.D. & Bryan P. Gibson, O.D.

Doing business as Drs. Gibson, Gibson, and Moore

  • Optometrist
  • Lubbock, TX
National Provider Identifier
1619182615
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TX 2209T AND 2433TG Issued in TX
Legal business name
DAVID R. GIBSON, O.D. & BRYAN P. GIBSON, O.D.
Doing business as
Drs. Gibson, Gibson, and Moore
Practice address
2132 50TH St
Lubbock, TX 79412-2603
Phone
(806) 747-1635
Fax
(806) 747-5499
NPI assigned
May 12, 2007
Last updated
May 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Dr. David Roger Gibson, O.D.NPI 1841393873
Title
Partner
Phone
(806) 747-1635

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TX 2209T AND 2433TG TX Primary
Optometrist 152W00000X 2433TG TX
Optometrist 152W00000X 7801TG TX
Optometrist 152W00000X 2209T TX

Addresses

Primary practice location

2132 50TH St
Lubbock, TX 79412-2603

Mailing address

2132 50TH St
Lubbock, TX 79412-2603
Phone (806) 747-1635

Other identifiers 1

IdentifierTypeStateIssuer
093010902MedicaidTX

Other names 1

  • Drs. Gibson, Gibson, and Moore Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050922000242 TX Part B Supplier - Clinic/Group Practice 4789618489 Receives reassigned benefits from 3 practitioners
Practice locations: Lubbock, TX

National Provider Directory

National Provider Directory

Locations

1018 N 1st St
Lamesa, TX 79331
Phone (806) 747-1635

2132 50th St
Lubbock, TX 79412
Phone (806) 747-1635

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1619182615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794122603",
            "telephone_number": "806-747-1635",
            "fax_number": "806-747-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794122603",
            "telephone_number": "806-747-1635",
            "fax_number": "806-747-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R. GIBSON, O.D. & BRYAN P. GIBSON, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-12",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "806-747-1635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "TX 2209T AND 2433TG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2433TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7801TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2209T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093010902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Gibson, Gibson, and Moore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.