Lisa Oleck Gibbons, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

003232 Issued in FL

Practice address

312 N Park Avenue
Winter Park, FL 32789-3801

Phone

(407) 644-5156

Fax

(407) 644-5290

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1902954092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N PARK AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893305",
            "telephone_number": "407-644-5156",
            "fax_number": "407-644-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N PARK AVENUE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893801",
            "telephone_number": "407-644-5156",
            "fax_number": "407-644-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "LISA",
        "middle_name": "OLECK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "003232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Susan Gerdes, MD
• Eugene Gernier, P.A.
• Fay Gershman, RMHCI
• Monica Gfrorer, DOM
• Paul A. Giannotti, ATC
• Catherine Ward Gibson, MA LMHC
• Glenville Wayne Gibson, MA LMHC
• Kara Ann Gibson
• Nneka Gibson
• Renetta J Gibson, CRNA

• Optometrist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.