William Tyler Gibson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2179DT Issued in KY

Practice address

9200 Leesgate Rd Ste 100
Louisville, KY 40222-5173

Phone

(502) 895-0040

Fax

(502) 365-4050

NPI assigned

Jul 1, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, KY, IN3 enrollments

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 3

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Centers of Louisville,PSCGroup PAC ID 4789584921, 31 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.51 of 100Reported as apm

Quality

80.61

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: william.gibson@bennettbloomeyecenters.imwdirect.com
• Direct secure messaging: william.gibson.p2@direct.johnkenyon.nextgenshare.com
• Direct secure messaging: willg@teg.emadirect.md

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.

• Eye Centers of Louisville,PSC

  • Ophthalmology Physician
  • Louisville, KY
  • NPI 1659385508

  IN, Optometrist

  Medicare reassignment Care Compare group NPD
• Thomas Eye Group PC

  • Ophthalmology Physician
  • Sandy Springs, GA
  • NPI 1548271992

  Optometrist

  Medicare reassignment NPD
• Eye Centers of Louisville,P.S.C.

  • Ambulatory Surgical Clinic/Center
  • Louisville, KY
  • NPI 1396763074
  NPD
• Thomas Eye Group PC

  • Optometrist
  • Stone Mountain, GA
  • NPI 1043032840
  NPD
• Thomas Eye Group PC

  • Ophthalmology Physician
  • Roswell, GA
  • NPI 1164532529
  NPD

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1679190060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 736502",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731408",
            "telephone_number": "502-678-2744",
            "fax_number": "502-212-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 LEESGATE RD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225173",
            "telephone_number": "502-895-0040",
            "fax_number": "502-365-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 E Parrish Ave",
            "address_purpose": "LOCATION",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031449",
            "country_code": "US",
            "telephone_number": "502-895-0040",
            "fax_number": "502-365-4050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4010 DuPont Cir Ste 380",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074881",
            "country_code": "US",
            "telephone_number": "502-895-0040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Johnstown Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427013925",
            "country_code": "US",
            "telephone_number": "270-769-0099",
            "fax_number": "270-763-0315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1935 Bluegrass Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402151181",
            "country_code": "US",
            "telephone_number": "502-364-0033",
            "fax_number": "502-361-4488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "WILLIAM",
        "middle_name": "TYLER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-01",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2179DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makenna Brianne Gibson, DMD
• Marcus A Gibson, DMD
• Melissa Ann Gibson, PSYD
• Richard Gibson, M.D.
• Tammy Charlyn Gibson, RPH DPH
• Erin Lorena Gick, OTD, OTR
• Amanda Catherine Marie Giesecke, APRN
• Jessica Rosalie Giesel, PA-C
• Thomas Giesen, MD
• Evelyn Faye Giesin

• Optometrist in Louisville, KY
• Providers in Louisville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.

Verify at the official NPI Registry.