Van Moore Od and David R. Gibson Od

NPI #1821208653 in Lamesa, Texas

Provider Information

NPI Number: 1821208653
Entity Type: Organization
Organization Name: Van Moore Od and David R. Gibson Od
Primary Specialty: Optometrist
Enumeration Date: May 23, 2007
Last Updated: May 30, 2008

Practice Location

Address: 1018 N 1ST ST
City: Lamesa
State: Texas
ZIP Code: 79331-5306
Phone: (806) 747-1635

Authorized Official

Name: DR. DAVID ROGER GIBSON, O.D.
Title: PARTNER
Phone: (806) 747-1635

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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