NPI 1134416787

Timothy Scott Gibbons, OD

Practitioner Optometrist Nampa, ID

Practice location

Address: 310 2nd St S, Nampa, ID 83651-3765
Phone: (208) 467-1361
Fax: (208) 467-9008

Registered specialties (3)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODP-100526 (ID)

Other Optometrist providers in Idaho →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2999 (TN)

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 727 (NV)

Registry record

NPI: 1134416787
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2011
Record last updated: 11 Nov 2024

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.