Organization
GIBSON'S EYE WORKS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE GIBSON (OWNER)
(601) 261-2221
Entity
Organization
Contact information
Practice address
3901 HARDY ST, SUITE 130, HATTIESBURG, MS 39402-1636
(601) 261-2221
(601) 264-3893
Mailing address
3901 HARDY ST, SUITE 130, HATTIESBURG, MS 39402-1636
(601) 261-2221
(601) 264-3893
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
018-14124-2
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06376211
—
MS
05
—
4936300001
—
MS
Enumeration date
10/26/2006
Last updated
10/07/2015
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