Van Moore OD and David R. Gibson OD
Organization Active NPI Optometrist · Lamesa, TX
NPI 1821208653 · NPPES record last updated May 30, 2008
Key facts
- NPI
- 1821208653
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- VAN MOORE OD AND DAVID R. GIBSON OD
- Practice address
- 1018 N 1St St
Lamesa, TX 79331-5306 - Phone
- (806) 747-1635
- Fax
- (806) 747-5499
- NPI assigned
- May 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. David Roger Gibson, O.D.
- Title
- Partner
- Phone
- (806) 747-1635
Practitioners 3
-
David Roger Gibson, O.D.
-
Michael Van Moore, O.D.
-
Amanda Kay Neal, O.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
1018 N 1St St
Lamesa, TX 79331-5306
Mailing address
1018 N 1St St
Lamesa, TX 79331-5306
Phone (806) 872-8440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093010901 | Medicaid | TX |
Other names
- Drs. Armistead, Moore and Gibson
Other providers in Lamesa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.