Organization
CHARLES C. GIBSON, O.D.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES C GIBSON O.D.P.A. (PRESIDENT)
(479) 649-5900
Entity
Organization
Contact information
Practice address
2425 S. ZERO STREET, FORT SMITH, AR 72901
(479) 649-5900
(479) 649-6724
Mailing address
2425 S. ZERO STREET, FORT SMITH, AR 72901
(479) 649-5900
(479) 649-6724
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2069
AR
Other
Enumeration date
09/02/2011
Last updated
12/10/2014
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