Wendy S. Gibson, O.D.

NPI #1649345190 in Benton, Kentucky

Provider Information

NPI Number: 1649345190
Entity Type: Individual
Name: Wendy S. Gibson, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 21, 2006
Last Updated: Nov 14, 2013

Practice Location

Address: 1512 MAIN ST
City: Benton
State: Kentucky
ZIP Code: 42025-1607
Phone: (270) 527-0951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary
Eyewear Supplier	332H00000X

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