Provider Demographics
NPI:1497907331
Name:GIBBONS EYE CARE, P.C.
Entity Type:Organization
Organization Name:GIBBONS EYE CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:E
Authorized Official - Last Name:GIBBONS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-548-2633
Mailing Address - Street 1:2114 HANAKOA FALLS DR
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:TX
Mailing Address - Zip Code:75409-5129
Mailing Address - Country:US
Mailing Address - Phone:469-247-6477
Mailing Address - Fax:972-548-2638
Practice Address - Street 1:1670 W UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3444
Practice Address - Country:US
Practice Address - Phone:972-548-2633
Practice Address - Fax:972-548-2638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty