DR. BRENT LEE GIBSON (NPI# 1205100120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205100120 |
| Entity Type | Individual |
| Full Name | DR. BRENT LEE GIBSON |
| Credential | O.D. |
| Practice Address |
2572 Atlantic Ave Long Beach CA 90806-2751 |
| Mailing Address |
11821 Magnolia Blvd. Apt 1 Valley Village CA 91607 |
| Practice Telephone | 5624240931 |
| Practice Fax Number | 5625954030 |
| Mailing Telephone | 8188006878 |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | CA10198 | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201580 | Brent Gibson | Student in an Organized Health Care Education/Training Program | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-09-26 |
| 1790347201 | Brent Anthony Gibson | Registered Nurse | 425 Robinson St, Binghamton, NY 13904-1775 | 2019-07-03 |
| 1780938571 | Brent Cameron Gibson | Physical Therapist | 7943 Bardstown Rd, Louisville, KY 40291-3437 | 2012-11-01 |
| 1467421669 | Brent Randall Gibson | Preventive Medicine | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2006-03-17 |
| Street Address |
2572 ATLANTIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780890749 | Juliane Lee | Optometrist | 2572 Atlantic Ave, Long Beach, CA 90806 | 2007-05-15 |
| 1902260672 | Raia Ivanka Cimatu Novak | Physician Assistant | 2572 Atlantic Ave, Long Beach, CA 90806-2751 | 2016-04-08 |
| 1811172257 | Walter M. Vukcevich, A Medical Group, Inc. | Specialist | 2572 Atlantic Ave, Long Beach, CA 90806-2751 | 2008-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| 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 |
|---|---|---|---|---|
| 1053911842 | Michael Guerret | Optometrist | 4130 N Viking Way # 110, Long Beach, CA 90808-1402 | 2020-10-29 |
| 1922524925 | Esther Sophia Yang | Optometrist | 4001 N Lakewood Blvd Ste 110, Long Beach, CA 90808-1887 | 2017-08-21 |
| 1285023135 | Ngoc H. Tran, Optometrist, A Professional Corporation | Optometrist | 4130 N Viking Way, Long Beach, CA 90808-1402 | 2015-01-15 |
| 1386807964 | Leangsok Tea | Optometrist | 3637 Locust Ave, Long Beach, CA 90807-3846 | 2008-07-03 |
| 1760665202 | Uc2020 Optometry | Optometrist | 2958 E Anaheim St, Long Beach, CA 90804-3726 | 2007-12-06 |
| 1780890749 | Juliane Lee | Optometrist | 2572 Atlantic Ave, Long Beach, CA 90806 | 2007-05-15 |
| 1578782017 | Dana M Gabbay | Optometrist | 240 W Beech St, Long Beach, NY 11561-3202 | 2007-04-24 |
| 1720204779 | Darren L Thorsen, Od | Optometrist | 1703 South Pacific Ave, Long Beach, WA 98631 | 2007-04-18 |
| 1518081447 | Elaina I-ling Chiao | Optometrist | 5219 E 2nd St, Long Beach, CA 90803-5316 | 2007-03-17 |
| 1023159100 | Frederick Alexei Huizar | Optometrist | 1412 E Wardlow Rd, Long Beach, CA 90807-4836 | 2007-02-09 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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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.