David Roger Gibson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2433TG Issued in TX

Practice address

2132 50TH St
Lubbock, TX 79412-2603

Phone

(806) 747-1635

Fax

(806) 747-5499

NPI assigned

Sep 6, 2006

Last updated

May 30, 2008By the provider in NPPES

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

Other identifiers 4

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David R. Gibson, O.D. and Bryan P. Gibson, O.D.Group PAC ID 4789618489, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David R. Gibson, O.D. & Bryan P. Gibson, O.D.

  dba Drs. Gibson, Gibson, and Moore

  • Optometrist
  • Lubbock, TX
  • NPI 1619182615
  Medicare reassignment Care Compare group NPD Authorized official
• Van Moore OD and David R. Gibson OD

  dba Drs. Armistead, Moore and Gibson

  • Optometrist
  • Lamesa, TX
  • NPI 1821208653
  NPD (past) Authorized official

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1841393873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794122603",
            "telephone_number": "806-747-1635",
            "fax_number": "806-747-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794122603",
            "telephone_number": "806-747-1635",
            "fax_number": "806-747-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "DAVID",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2433TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0930109-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0930109-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1272338-04",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410020883",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abbey Giboney, LPC
• Gibson Sales LP (Drug Emporium 262)
• Alison Gibson, NP
• Bryan Gibson, O.D.
• Cecily Gibson, LMFT
• Jenee Gibson, RN, OCN
• Mason Gibson, AA
• Meridith Gibson
• Pauline Linda Gibson, LPC
• Angela Kay Gideon, L.P.C

• Optometrist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.