National Provider Identifier Database

GUSTAF I GIBSON, OD – NPI #1215917307
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

GUSTAF I GIBSON, OD
145 W CACHE VALLEY BLVD
LOGAN, UT84341-8473
Phone: 435-787-9273
Fax: 435-787-9275
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for GUSTAF I GIBSON

NPI Number 1215917307
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/17/2006
Last updated 06/15/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • OR License #: 2994T
  • UT License #: 5823517-9934
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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