Provider Demographics
NPI:1578741344
Name:G & D GIPS INC.
Entity Type:Organization
Organization Name:G & D GIPS INC.
Other - Org Name:SEIFERT' S OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:EVANS
Authorized Official - Last Name:GIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-573-0212
Mailing Address - Street 1:PO BOX 4826
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77903-4826
Mailing Address - Country:US
Mailing Address - Phone:361-573-0212
Mailing Address - Fax:361-573-7839
Practice Address - Street 1:3804 JOHN STOCKBAUER DR
Practice Address - Street 2:SUITE A
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-2448
Practice Address - Country:US
Practice Address - Phone:361-573-0212
Practice Address - Fax:361-573-7839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-04
Last Update Date:2008-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5387780001Medicare NSC