Gibbons Eye Clinic, Optometrists, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1978 Issued in MN

Legal business name

GIBBONS EYE CLINIC, OPTOMETRISTS, P.A.

Practice address

120 Main St N
Cambridge, MN 55008-1230

Phone

(763) 689-1441

Fax

(763) 689-3925

NPI assigned

Mar 20, 2007

Last updated

Jul 10, 2008By 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

Ms. Paula Rae Neu

Title

Manager

Phone

(763) 689-1441

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1821113804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MAIN ST N",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081230",
            "telephone_number": "763-689-1441",
            "fax_number": "763-689-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAIN ST N",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081230",
            "telephone_number": "763-689-1441",
            "fax_number": "763-689-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBBONS EYE CLINIC, OPTOMETRISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "NEU",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "763-689-1441",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "987323600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Colleen Gebben, MA, LAMFT
• Bryant Wade Geis, PHARM D
• Gentle Hands of Time (visiting angels)
• Suzanne Gerbig
• Jackie E Geving
• Joseph Tait Gibbons, OD
• Samuel Robert Goblirsch, M.D.
• Beth Ann Good, DNP, APRN, PMHCNS-BC
• Corey Grace
• Shari L Graham, M.D.

• Optometrist in Cambridge, MN
• Providers in Cambridge, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.