Thomas Joseph Gibbons, O.D. - OPTOMETRIST

Primary specialty

OptometristTaxonomy code 152W00000X

License

121 Issued in NV

Practice address

444 S Division St
Carson City, NV 89703-4280

Phone

(775) 882-5963

Fax

(775) 882-5371

NPI assigned

Oct 20, 2006

Last updated

Mar 28, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1932282415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 S DIVISION ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034280",
            "telephone_number": "775-882-5963",
            "fax_number": "775-882-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S DIVISION ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034280",
            "telephone_number": "775-882-5963",
            "fax_number": "775-882-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D. - OPTOMETRIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002513505",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Gerber-Winn
• Melissa Anne Cates Gerdes, MPT
• Lisa Michelle Getas, D.C.
• Yaser N/a Ghavami
• Brent Giacchetti, COTA/L
• Duane Anthony Gilbert, FNP-C
• Lynn Marie Gilbert, CADC
• Jeannine Lea Gilbreath, R.N.
• Robert Giomi
• Monique Giron

• Optometrist in Carson City, NV
• Providers in Carson City, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.