| Wendy Sowell Gibson Od | |
|
1512 Main St, Benton, KY 42025-1607 | |
| (270) 527-0951 | |
| (270) 527-1316 |
| Full Name | Wendy Sowell Gibson Od |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1512 Main St, Benton, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114121324 | NPI | - | NPPES |
| 77009116 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 911DT (Kentucky) | Primary |
| Provider Name | Wendy S Gibson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649345190 PECOS PAC ID: 6709861412 Enrollment ID: I20101019000760 |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy Sowell Gibson Od 1512 Main St, Benton, KY 42025-1607 Ph: (270) 527-0951 | Wendy Sowell Gibson Od 1512 Main St, Benton, KY 42025-1607 Ph: (270) 527-0951 |
Clarkson Optometry Midwest Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 109 W 5th St, Benton, KY 42025 Phone: 636-200-4393 | |
Dr. Natasha G. Lyles, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 140 Commerce Blvd, Benton, KY 42025 Phone: 270-252-3937 | |
Dr. Joe E Ellis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 109 W 5th St, Benton, KY 42025 Phone: 270-527-7421 Fax: 270-527-3118 | |
Lyles Eye Center, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 140 Commerce Blvd, Benton, KY 42025 Phone: 270-252-3937 | |
Clarkson Optometry Midwest Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 109 W 5th St, Benton, KY 42025 Phone: 636-200-4393 | |
Wendy S. Gibson, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1512 Main St, Benton, KY 42025 Phone: 270-527-0951 Fax: 270-527-1316 |