NPI 1285885673

Tyrone Aaron Gibson, ABOC

Practitioner Optician Saint Louis, MO

Practice location

Address: 5014 Virginia Ave APT 2w, Saint Louis, MO 63111-1739
Phone: (202) 487-1337

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Missouri →

Registry record

NPI: 1285885673
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2008
Record last updated: 3 Oct 2008

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.