Individual provider Active NPI

Misti Daun Gibson, O.D.

  • Optometrist
  • Spring, TX
National Provider Identifier
1669464145
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6397TG Issued in TX
Practice address
8220 Louetta Rd
Ste 112
Spring, TX 77379-7029
Phone
(281) 370-2020
Fax
(281) 251-2705
NPI assigned
Aug 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6397TG TX Primary

Addresses

Primary practice location

8220 Louetta Rd
Ste 112
Spring, TX 77379-7029

Mailing address

8220 Louetta Rd
Ste 112
Spring, TX 77379-7029
Phone (281) 370-2020

Other identifiers 2

IdentifierTypeStateIssuer
1669464145OtherTXNPI
1720201916OtherTXGROUP NPI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040416000694 TX Practitioner - Optometry 1355336652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Klein Eyecare PAGroup PAC ID 3476599010, 4 clinicians

Practice addresses (Care Compare)

8220 Louetta Rd
Suite 112
Spring, TX 77379-7021
Phone (281) 370-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6397TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Klein Eyecare, P.a. Optometrist CurrentSince Dec 9, 2016 Accepting new patients

Locations

8220 Louetta Rd
Ste 112
Spring, TX 77379
Phone (281) 370-2020

Organizations & group practices 1

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1669464145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 LOUETTA RD",
            "address_2": "STE 112",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797029",
            "telephone_number": "281-370-2020",
            "fax_number": "281-251-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 LOUETTA RD",
            "address_2": "STE 112",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797029",
            "telephone_number": "281-370-2020",
            "fax_number": "281-251-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "MISTI",
        "middle_name": "DAUN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6397TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669464145",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1720201916",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.