Roy Raymond Gibson, OD | |
4949 S 900 W, Riverdale, UT 84405-3777 | |
(801) 621-0480 | |
(801) 612-3485 |
Full Name | Roy Raymond Gibson |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 39 Years |
Location | 4949 S 900 W, Riverdale, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104816743 | NPI | - | NPPES |
1737499 | Other | UT | FIRST HEALTH NETWORK |
589803 | Other | UT | DMBA |
11445324 | Other | UT | CAQH |
81820 | Other | UT | PEHP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1130289934 (Utah) | Primary |
152W00000X | Optometrist | 1130288904 (Utah) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eye Pros Of Layton Llc | 1355680851 | 3 |
Eye Pros Of Ogden | 6901142025 | 4 |
Provider Name | Eye Pros Of Ogden |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710456975 PECOS PAC ID: 6901142025 Enrollment ID: O20190110002752 |
Provider Name | Eye Pros Of Layton Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760956221 PECOS PAC ID: 1355680851 Enrollment ID: O20190227002921 |
Provider Name | Eye Pros Of Orem |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508340944 PECOS PAC ID: 7416200902 Enrollment ID: O20190307002047 |
Mailing Address | Practice Location Address |
---|---|
Roy Raymond Gibson, OD 5690 S 3750 W, Roy, UT 84067-8161 Ph: (801) 985-4141 | Roy Raymond Gibson, OD 4949 S 900 W, Riverdale, UT 84405-3777 Ph: (801) 621-0480 |
Dr. David Boyle Burnett, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4848 S 900 W, Riverdale, UT 84405 Phone: 801-627-9868 Fax: 801-627-9870 | |
Eyecare Wellness Clinic P.l.l.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4848 S 900 W, Riverdale, UT 84405 Phone: 801-627-9868 Fax: 801-627-9870 | |
Shopko Optical 109 Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4060 Riverdale Rd, Riverdale, UT 84405 Phone: 801-392-4300 | |
Eye Pros Optometrist Medicare: Medicare Enrolled Practice Location: 4115 Riverdale Rd, Riverdale, UT 84405 Phone: 208-297-7019 | |
Boster Vision, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4848 S 900 W, Riverdale, UT 84405 Phone: 801-404-2825 |