DR. REX W GIBSON (NPI# 1518964261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518964261 |
| Entity Type | Individual |
| Full Name | DR. REX W GIBSON |
| Credential | O.D. |
| Practice Address |
111 W 1st St Lyons KS 67554-1901 |
| Mailing Address |
1851 N Webb Rd Attn Flr 2 Wichita KS 67206-3413 |
| Practice Telephone | 6202572600 |
| Practice Fax Number | 6202575033 |
| Mailing Telephone | 3166362010 |
| Mailing Fax Number | 3166914472 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2008-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0945-2 | KS | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100090530A | 05 | |
| KS | RAILROAD MEDICARE | P00308269 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174730287 | Rex Shannon Gibson | Dentist | 1245 Se 3rd St, Ste #a-1, Bend, OR 97702-2161 | 2007-05-17 |
| Street Address |
111 W 1ST ST |
| City | LYONS |
| State | KS |
| Zip Code | 67554-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205308053 | Lyon Pharmacy Inc | Pharmacy | 921 W Main St, Lyons, KS 67554 | 2018-12-18 |
| 1972005494 | Teresa M Cordell | Chiropractor | 108 W Commercial St, Lyons, KS 67554 | 2018-02-28 |
| 1649482282 | Grene Vision Group LLC | Ophthalmology | 111 West First, Lyons, KS 67554 | 2007-05-04 |
| 1497245005 | Cordell Chiropractic Clinic LLC | Chiropractor | 108 W Commercial St, Lyons, KS 67554 | 2018-05-18 |
| 1588845929 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 1212 W Main, Lyons, KS 67554 | 2007-11-14 |
| 1427145739 | Hospital District No 1 of Rice Co | Medicare Defined Swing Bed Unit | 619 S Clark Ave, Lyons, KS 67554 | 2006-10-06 |
| 1710962014 | Hospital District No 1 of Rice Co | General Acute Care Hospital | 619 S. Clark, Lyons, KS 67554-0828 | 2005-12-08 |
| 1043828163 | Jacob Edwards | Pharmacist | 921 W Main St, Lyons, KS 67554-1708 | 2020-07-15 |
| 1114535226 | Ashlyn Raye Hammer | Pharmacist | 921 W Main St, Lyons, KS 67554-1708 | 2020-07-15 |
| 1700409802 | Ludwig Family Chiropractic LLC | Chiropractor | 400 W Main St, Lyons, KS 67554-1819 | 2020-05-22 |
| Find all providers in zip 67554 | ||||
| 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 |
|---|---|---|---|---|
| 1053852699 | Lyons Eye Optometry, LLC | Optometrist | 138 East Main Street, Lyons, CO 80540-0000 | 2017-03-15 |
| 1497951644 | Mayur Bhavsar | Optometrist | 151 Knollcroft Rd, Lyons, NJ 07939-5001 | 2007-06-25 |
| 1023183621 | Malinda A. Cafiero-chin | Optometrist | 151 Knollcroft Rd, Lyons, NJ 07939-5001 | 2006-11-21 |
| 1124114566 | Angela Tardanico | Optometrist | 151 Knollcroft Rd, Lyons, NJ 07939-5001 | 2006-10-05 |
| 1962418509 | Joseph Cercone | Optometrist | 151 Knollcroft Rd, C/o Eye Clinic, Lyons, NJ 07939-5001 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529197 | Drs Price Young Odle & Horsch Pa | Optometrist | 975 N Mur Len Rd Ste D, Olathe, KS 66062-1803 | 2020-08-19 |
| 1174141303 | Megan Anne Williams | Optometrist | 21 N 12th St Ste 102, Kansas City, KS 66102-5172 | 2020-07-14 |
| 1114544392 | Diana Ho | Optometrist | 980 Oliver Street, Wichita, KS 67218 | 2020-07-03 |
| 1679123590 | Acuity Vision Center LLC | Optometrist | 11114 S Lone Elm Rd, Olathe, KS 66061-9434 | 2019-09-12 |
| 1861040909 | Larisa Rivera | Optometrist | 949 S Glendale St, Wichita, KS 67218-3210 | 2019-09-02 |
| 1306493044 | Steven Bartholomew Od, LLC | Optometrist | 809 N 3rd St Ste 200, Manhattan, KS 66502-6702 | 2019-08-19 |
| 1427612084 | Kansas Physicians Eyecare Group, P.C. | Optometrist | 438 S Rock Rd, Wichita, KS 67207-1150 | 2019-04-29 |
| 1396213799 | Wichita Optometry, P.a. | Optometrist | 2330 N Amidon Ave, Wichita, KS 67204-5630 | 2018-11-05 |
| 1073090742 | Eyesmile Vision LLC | Optometrist | 1300a Main St, Hays, KS 67601-3658 | 2018-07-25 |
| 1710463500 | Macey Pruett | Optometrist | 982 N Tyler Rd Ste A, Wichita, KS 67212-3271 | 2018-07-14 |
| Find all providers with the same taxonomy | ||||
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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.