Dr Gustaf Isaac Gibson, OD in Logan, UT - Medicare Optometry Provider

Dr Gustaf Isaac Gibson, OD is a medicare enrolled "Optometrist" provider in Logan, Utah. He went to Pacific University - College Of Optometry and graduated in 2004 and has 20 years of diverse experience with area of expertise as Optometry. His current practice location is 145 W Cache Valley Blvd, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 787-9273.

Dr Gustaf Isaac Gibson is licensed to practice in Utah (license number 5823517-9934) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215917307.

Contact Information

	Dr Gustaf Isaac Gibson, OD
	145 W Cache Valley Blvd, Logan, UT 84341-8473
	(435) 787-9273
	(435) 787-9275

Healthcare Provider's Profile

Full Name	Dr Gustaf Isaac Gibson
Gender	Male
Speciality	Optometry
Experience	20 Years
Location	145 W Cache Valley Blvd, Logan, 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.

Medical Education and Training:

Dr Gustaf Isaac Gibson attended and graduated from Pacific University - College Of Optometry in 2004

NPI Data:

NPI Number: 1215917307
Provider Enumeration Date: 01/17/2006
Last Update Date: 06/15/2023

Medicare PECOS Information:

PECOS PAC ID: 3577625201
Enrollment ID: I20081215000346

Medical Identifiers

Medical identifiers for Dr Gustaf Isaac Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215917307	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2994T (Oregon)	Secondary
152W00000X	Optometrist	5823517-9934 (Utah)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gustaf Isaac Gibson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Gustaf Isaac Gibson, OD 435 W 1140 N, Logan, UT 84341-6994 Ph: () -	Dr Gustaf Isaac Gibson, OD 145 W Cache Valley Blvd, Logan, UT 84341-8473 Ph: (435) 787-9273

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Dr Gustaf Isaac Gibson, OD - Medicare Optometrist in Logan, UT