Whalio Doctors

NPI 1053633248

Amie Sussan Gisbert, OD

Practitioner Optometrist Pearland, TX

Practice location

Address
9215 Broadway St STE 119, Pearland, TX 77584-8987
Phone
(281) 997-2015
Fax
(281) 977-2016
Mailing address
4914 Meadowglen Dr, Pearland, TX 77584-7667

Registered specialties (2)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 7400TG (TX)
Corneal and Contact Management Optometrist
Eye and Vision Services Providers Taxonomy 152WC0802X Licence 7400TG (TX)

Registry record

NPI
1053633248
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Feb 2010
Record last updated
30 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.