MR. TYRONE AARON GIBSON (NPI# 1285885673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285885673 |
| Entity Type | Individual |
| Full Name | MR. TYRONE AARON GIBSON |
| Credential | A.B.O.C. |
| Practice Address |
5014 Virginia Ave Apt 2w Saint Louis MO 63111-1739 |
| Practice Telephone | 2024871337 |
| Mailing Telephone | 2024871337 |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2008-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Street Address |
5014 VIRGINIA AVE APT 2W |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63111-1739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291660 | Ebony Cannon | Behavior Technician | 7700 Minosotta Ave, St.louis, MO 63111 | 2018-07-06 |
| 1811310212 | Danny Brown | Home Health | 5328 Virginia, Saint Louis, MO 63111 | 2014-01-22 |
| 1548387681 | Raymond Joseph Skosky | Dentist | 5530 Virginia Avenue, Saint Louis, MO 63111 | 2007-03-23 |
| 1972666782 | Diane P Hamill | Optometrist | 1012 Loughborough Commons, St. Louis, MO 63111 | 2006-12-19 |
| 1073673828 | Bethesda Long Term Care, Inc. | Custodial Care Facility | 4431 South Broadway, St. Louis, MO 63111 | 2006-12-11 |
| 1669542668 | Anna D Naumovich | Internal Medicine | 5205 South Grand Ave, St Louis, MO 63111 | 2006-11-08 |
| 1417040114 | Tony Thien Tang | Internal Medicine | 4675 South Grand Blvd., St. Louis, MO 63111 | 2006-10-02 |
| 1790736171 | Robert Clarence Egan | Surgery | 3535 South Jefferson Ste 101, Ste 101, St Louis, MO 63111 | 2006-05-12 |
| 1790340438 | Marco Samuel Garcia | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111 | 2019-05-08 |
| 1154717593 | Nucrown, LLC | Optometrist | 1012 Loughborough Commons, Saint Louis, MO 63111 | 2015-04-13 |
| Find all providers in zip 63111 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760851547 | National Vision, Inc. | Technician/Technologist | 7345 S Lindbergh Blvd Ste B, Saint Louis, MO 63125-4574 | 2015-09-22 |
| 1184905119 | Kimberly Elaine Burford | Technician/Technologist | 6201 Famous Ave, Saint Louis, MO 63139-3043 | 2011-09-05 |
| 1710161716 | Robert Joseph Gruchala | Technician/Technologist | 6200 Chippewa, Saint Louis, MO 63109-2238 | 2007-12-27 |
| 1467678490 | James Lawton Brown | Technician/Technologist | 9644 Olive Blvd, Saint Louis, MO 63132-3002 | 2007-04-18 |
| 1801918115 | Michael Harris | Technician/Technologist | 745 N New Ballas Rd, Saint Louis, MO 63141-6715 | 2007-04-06 |
| 1558481168 | Alexander Jenkins | Technician/Technologist | 1015 N Grand Blvd, Suite A, Saint Louis, MO 63106-1623 | 2007-03-29 |
| 1225069396 | America's Best Contacts & Eyeglasses | Technician/Technologist | 221 Watson Plz, Saint Louis, MO 63126-1963 | 2006-07-06 |
| 1841221926 | America's Best Contacts & Eyeglasses | Technician/Technologist | 10950 New Halls Ferry Rd, Saint Louis, MO 63136-4435 | 2006-07-06 |
| 1811299621 | Melinda Sue Walters | Technician/Technologist | 9911 Kennerly Rd, Saint Louis, MO 63128-2700 | 2010-11-30 |
| 1396927166 | Charles T Staton Sr. | Technician/Technologist | 1408 N Kingshighway Blvd, Saint Louis, MO 63113-1400 | 2007-12-03 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63111 |
Please comment or provide details below to improve the information on MR. TYRONE AARON GIBSON.
| 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.