| Tyson Gibbons, OD | |
|
14 University Estates Blvd Ste 100, Athens, OH 45701-3375 | |
| (740) 594-2271 | |
| (740) 594-2270 |
| Full Name | Tyson Gibbons |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 14 University Estates Blvd Ste 100, Athens, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245016047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 10989 (Texas) | Secondary |
| 152W00000X | Optometrist | 007255 (Ohio) | Primary |
| Provider Name | Athens Eye Care Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023068228 PECOS PAC ID: 4981666880 Enrollment ID: O20041102001204 |
| Provider Name | Hocking Hills Eye Care Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821615352 PECOS PAC ID: 2062837701 Enrollment ID: O20200729000930 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyson Gibbons, OD 14 University Estates Blvd Ste 100, Athens, OH 45701-3375 Ph: (740) 594-2271 | Tyson Gibbons, OD 14 University Estates Blvd Ste 100, Athens, OH 45701-3375 Ph: (740) 594-2271 |
Athens Eye Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 14 University Estates Blvd, Suite 100, Athens, OH 45701 Phone: 740-594-2271 Fax: 740-594-2270 | |
Rachel R Lefebvre, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 14 University Estates Blvd Ste 100, Athens, OH 45701 Phone: 740-594-2271 Fax: 740-594-2270 | |
Dr. Lillian Jane Hoskinson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 199 Columbus Rd, Athens, OH 45701 Phone: 740-593-3191 | |
Logan Michael, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 187 Columbus Rd, Athens, OH 45701 Phone: 740-593-3191 | |
Arnold Patrick Lagraff, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 199 Columbus Rd, Athens, OH 45701 Phone: 740-593-3191 Fax: 740-594-2525 | |
Shane A. Foster, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 416 W Union St, Athens, OH 45701 Phone: 740-594-2271 Fax: 740-594-2270 |