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GIBSON'S EYE WORKS INC. NPI 1619052834


NPI Information

NPI: 1619052834
Provider Name: GIBSON'S EYE WORKS INC.
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
3901 HARDY ST
SUITE 130
HATTIESBURG, MS
ZIP 39402
Phone: (601) 261-2221
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GIBSON'S EYE WORKS INC. is an eyewear supplier in Hattiesburg, MS. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. GIBSON'S EYE WORKS INC. NPI is 1619052834. The provider is registered as an organization entity type.

The provider's business location address is:

3901 HARDY ST
SUITE 130
HATTIESBURG, MS
ZIP 39402-636
Phone: (601) 261-2221
Fax: (601) 264-3893

The provider's authorized official is Steve Gibson .
The authorized official title is Owner and has the following contact phone number (601) 261-2221.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 10/7/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear Supplier018-14124-2MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
106376211MEDICAIDMISSISSIPPI
2=========OTHERMISSISSIPPITAX IDENTIFICATION NUMBER
34936300001MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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