Individual
TYSON GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
14 UNIVERSITY ESTATES BLVD STE 100, ATHENS, OH 45701-3375
(740) 594-2271
(740) 594-2270
Mailing address
14 UNIVERSITY ESTATES BLVD STE 100, ATHENS, OH 45701-3375
(740) 594-2271
(740) 594-2270
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007255
OH
152W00000X
Optometrist
10989
TX
Other
Enumeration date
09/06/2023
Last updated
08/19/2024
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