DR. KRISTAN L GIBSON (NPI# 1093899890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093899890 |
| Entity Type | Individual |
| Full Name | DR. KRISTAN L GIBSON |
| Credential | OD |
| Practice Address |
3333 Bayshore Blvd Suite 280 Pasadena TX 77504-1952 |
| Mailing Address |
555 E Medical Center Blvd Suite 101 Webster TX 77598-4367 |
| Practice Telephone | 7139438671 |
| Practice Fax Number | 7139431657 |
| Mailing Telephone | 2814887213 |
| Mailing Fax Number | 2814881387 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 07027T | TX | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 4130 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 213909901 | 05 | |
| TX | CIGNA GOVERNMENT SERVICES | 193100005 | 01 |
| TX | 213909902 | 05 |
| Street Address |
3333 BAYSHORE BLVD SUITE 280 |
| City | PASADENA |
| State | TX |
| Zip Code | 77504-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596577 | Mitzi Storey | Specialist/Technologist, Other | 3333 Bayshore Blvd, Ste 200, Pasadena, TX 77504-1944 | 2005-05-27 |
| 1720566813 | Nadia R Fierro | Occupational Therapist | 3333 Bayshore Blvd, Pasadena, TX 77504-1952 | 2018-08-01 |
| 1093266132 | Monica Charpentier | Dietitian, Registered | 3333 Bayshore Blvd, Pasadena, TX 77504-1952 | 2016-10-24 |
| 1720445935 | Paul Evans | Dietitian, Registered | 3333 Bayshore Blvd, Pasadena, TX 77504-1952 | 2016-01-19 |
| 1457773368 | Barnell Dialysis, LLC | Clinic/Center | 3333 Bayshore Blvd, Pasadena, TX 77504-1952 | 2014-01-11 |
| 1811215460 | Meridian Family Medical Associates Pllc | Internal Medicine | 3333 Bayshore Blvd, Suite 250, Pasadena, TX 77504-1961 | 2010-05-06 |
| 1194902130 | Aliya Sakinah Hayes | Internal Medicine | 3333 Bayshore Blvd, Suite 240, Pasadena, TX 77504-1952 | 2008-01-22 |
| 1508055054 | Coastal Eye Associates, Pllc | Optometrist | 3333 Bayshore Blvd, Suite 280, Pasadena, TX 77504 | 2007-10-22 |
| 1396933073 | Larry K. Milner, M.d., P.a. | Specialist | 3333 Bayshore Blvd, Suite 300, Pasadena, TX 77504-1952 | 2007-10-09 |
| 1144423922 | Vijay K Koka | Internal Medicine | 3333 Bayshore Blvd, Suite 270, Pasadena, TX 77504-1988 | 2007-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316408149 | Caitlin Demi Valverde | Nurse Practitioner | 3412 Burke Rd Ste 100, Pasadena, TX 77504 | 2019-03-26 |
| 1780164475 | Erin Osmus | Physical Therapist | 3434 Watter, Pasadena, TX 77504 | 2018-08-21 |
| 1184117103 | Lifealysis Kidney Care, LLC | Clinic/Center | 4300 Fairmont Pkwy Ste 100, Pasadena, TX 77504 | 2018-06-13 |
| 1477044253 | Karen Colleen Watkins | Registered Nurse | 3332 Plainview Drive, Pasadena, TX 77504 | 2018-05-28 |
| 1619465192 | Morgan Pharmacy | Pharmacy | 3316 Shaver St Ste 6, Pasadena, TX 77504 | 2018-04-30 |
| 1528566890 | Assured Imaging Women's Wellness of Southern Arizona, LLC | Clinic/Center | 4008 Vista Rd. Bldg B Suite B101, Pasadena, TX 77504 | 2018-01-31 |
| 1972015022 | Oasis Mind and Body | Psychiatry & Neurology | 3301 Plainview, 1, Pasadena, TX 77504 | 2017-10-30 |
| 1629503933 | Inner City Podiatry Professional Limited Liability Company | Podiatrist | 3801 Vista Rd Ste 180, Pasadena, TX 77504 | 2017-04-24 |
| 1063952943 | Irfan Jawed Md Pllc | Internal Medicine | 4102 Woodlawn Avenue, Ste 160, Pasadena, TX 77504 | 2017-02-27 |
| 1669911707 | Quetzalli Zavala | Nurse Practitioner | 3326 Watters Rd Bldg B, Pasadena, TX 77504 | 2017-02-22 |
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| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | 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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124668926 | Nancy Banh | Optometrist | 600 Lincoln Ave Unit 93957, Pasadena, CA 91109-5784 | 2020-01-09 |
| 1619520152 | Texas Eye Heroes | Optometrist | 132 Southmore Ave Ste A, Pasadena, TX 77502-1018 | 2019-07-23 |
| 1306310040 | Daniel Max & Marcandrea LLC | Optometrist | 310 Southmore Ave, Pasadena, TX 77502 | 2019-01-16 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1447766001 | Pasadena Eye Care, LLC | Optometrist | 33 Magothy Beach Rd Ste 104, Pasadena, MD 21122-4467 | 2017-12-19 |
| 1104331305 | Elizabeth Louise Wright | Optometrist | 2700 E Foothill Blvd Ste 207, Pasadena, CA 91107-7111 | 2017-12-10 |
| 1942652912 | Pooneh Vafaee | Optometrist | 1002 Southmore Ave, Pasadena, TX 77502-1202 | 2016-07-01 |
| 1457778912 | Faydim Rassamdana | Optometrist | 1250 Riviera Dr, Pasadena, CA 91107-1632 | 2014-03-23 |
| 1568766947 | Elda Mehrabyan | Optometrist | 155 Cordova St, Suite 168, Pasadena, CA 91105-2727 | 2010-12-29 |
| 1578791687 | Raul Quintanilla | Optometrist | 2777 Shaver St, Pasadena, TX 77502-4625 | 2009-06-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.