Individual provider Active NPI

Chandra Yvette Gibbs, O.D.

  • Optometrist
  • Richardson, TX
National Provider Identifier
1992821037
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6004T Issued in TX
Practice address
601 S Plano Rd
Richardson, TX 75081-4512
Phone
(972) 234-4860
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6004T TX Primary

Addresses

Primary practice location

601 S Plano Rd
Richardson, TX 75081-4512

Mailing address

6108 White Pine Dr
McKinney, TX 75070-9508
Phone (972) 886-2798

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041110001238 TX Practitioner - Optometry 2163485004 Reassigns benefits to 1 organization
Practice locations: Richardson, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

100 Country View Dr
Suite 100
Roanoke, TX 76262-2055
Phone (817) 491-2018

1811 N Greenville Ave
Suite 200
Richardson, TX 75081-2045
Phone (972) 437-2020

221 N Preston Rd
Suite B
Prosper, TX 75078-8607
Phone (972) 347-2020

2703 Richmond Rd
Texarkana, TX 75503-2328
Phone (903) 838-0783

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6004TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Oct 1, 2024 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Oct 1, 2024 Accepting new patients
Gibbs Eyecare and Optical Gallery PLLC Optometrist CurrentSince Apr 21, 2024 Accepting new patients
Lincoln Physical Therapy and Sports Rehab LLC Past Accepting new patients
Patterson Optical, P.a. Optometrist PastSince Feb 27, 1997 Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients

Locations

11645 Angus Rd
Ste 5
Austin, TX 78759
Phone (512) 345-5641

6725 Delaware St
Beaumont, TX 77706
Phone (409) 832-9151

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

5224 S State Highway 360
Ste 200
Grand Prairie, TX 75052
Phone (972) 602-4545

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

3032 N Eastman Rd
Ste 100
Longview, TX 75605
Phone (903) 663-2020

1811 N Greenville Ave
Ste 200
Richardson, TX 75081
Phone (972) 437-2020

100 Country View Dr
Ste 100
Roanoke, TX 76262
Phone (817) 491-2018

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8329 Whitley Rd
Watauga, TX 76148
Phone (817) 431-2020

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992821037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 WHITE PINE DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750709508",
            "telephone_number": "972-886-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S PLANO RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750814512",
            "telephone_number": "972-234-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "CHANDRA",
        "middle_name": "YVETTE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6004T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.