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Contact Information

CHARLES GIBSON, OD
2425 ZERO ST
FORT SMITH, AR72901-8663
 Phone: 479-649-5900
 Fax: 479-649-6724
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CHARLES GIBSON · (Male)

NPI Number 1972673432
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 11/09/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 2069
  • Other 47859 ARKANSAS BCBS
  • Other 38855 AVESIS
  • Other 923045 BLOCK VISION
  • Other 47678 DAVIS VISION
  • Other 26766 MEDICAL EYE SERVICES
  • Other 041012 NATIONAL VISION ASSOCIATI
  • Other 710739595001 OKLAHOMA BCBS
  • Other 1454016 OPTICHOICE
  • Other 07225 SPECTERA
  • Other 56908 SUPERIOR VISION PLAN
Hospital affiliation(s) Not Available
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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