Individual
DR. KARA I GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
20 MAIN ST, BRADFORD, PA 16701-2004
(814) 368-7090
Mailing address
1576 SWEDE RD, ASHVILLE, NY 14710-9562
(716) 483-2020
(716) 488-9295
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG001527
PA
152W00000X
Optometrist
Primary
TUV006826-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02593093
—
NY
05
—
101142710
—
PA
Enumeration date
11/02/2005
Last updated
04/27/2022
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