Individual
WILLIAM TYLER GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9200 LEESGATE RD STE 100, LOUISVILLE, KY 40222-5173
(502) 895-0040
(502) 365-4050
Mailing address
PO BOX 736502, CHICAGO, IL 60673-1408
(502) 678-2744
(502) 212-0220
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2179DT
KY
Other
Enumeration date
07/01/2020
Last updated
11/12/2025
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