Dr Roy R Gibson & Associates Optometrists P C

Primary specialty

OptometristTaxonomy code 152W00000X

License

113028-9934 Issued in UT

Legal business name

DR ROY R GIBSON & ASSOCIATES OPTOMETRISTS P C

Practice address

5690 S 3750 W
Roy, UT 84067-8161

Phone

(801) 985-4141

NPI assigned

Jan 10, 2008

Last updated

Oct 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roy R Gibson, D.O.NPI 1104816743

Title

President

Phone

(801) 391-1484

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Roy Raymond Gibson, O.D.

  • Optometrist
  • Riverdale, UT
  • NPI 1104816743
  Authorized official Same address or phone
• Andrew Perry Rockwood, O.D.

  • Optometrist
  • North Ogden, UT
  • NPI 1487641213
  NPD (past)
• Lance Henderson

  • Optometrist
  • Preston, ID
  • NPI 1225186398
  NPD (past)

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1659557528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5690 S 3750 W",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840678161",
            "telephone_number": "801-985-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 S 3750 W",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840678161",
            "telephone_number": "801-985-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ROY R GIBSON & ASSOCIATES OPTOMETRISTS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-391-1484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "113028-9934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "000057653",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelin Dempsey
• Diamond Detox, LLC
• Jory Dixon
• Nadine Douglass, BT
• Russell S Doxey, APRN
• Crystal Draper-Tervort
• Mykenzie Dunham
• Lisa Eberly, BCABA, LABA
• Jillee Ehrhart
• Emily Ellis, RN

• Optometrist in Roy, UT
• Providers in Roy, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.