| NPI | 1225196736 |
|---|---|
| Doing Business As | GIBSON OPTICAL |
| Entity Type | Organization |
| Authorized Contact | STEVE GIBSON Owner 601-425-3173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-12-07 |