Organization
CHERYL AND STEVE INC.
Active
Other names
Gibson Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE GIBSON (OWNER)
(601) 425-3173
Entity
Organization
Contact information
Practice address
1620 HIGHWAY 15 N STE A, LAUREL, MS 39440-1892
(601) 425-3173
(601) 425-3094
Mailing address
1620 HIGHWAY 15 N STE A, LAUREL, MS 39440-1892
(601) 425-3173
(601) 425-3094
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880089
—
MS
Enumeration date
12/05/2006
Last updated
12/07/2007
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