WESLEY C. GIBSON LDO – NPI #1386782183
Technician/Technologist

WESLEY GIBSON is a technician located in DESTIN, FL. NPPES has assigned the NPI number 1386782183 to WESLEY GIBSON on February 02, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 156FX1800X from the Health Care Provider Taxonomy code set, which is classified as Technician/Technologist, specializing in Optician

The NPI profile was previously updated about 16 years ago on Aug 03, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WESLEY GIBSON below.

NPI Profile for
WESLEY C. GIBSON

NPI Number
1386782183
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WESLEY C. GIBSON
Credentials
LDO
Primary location
7720 US HIGHWAY 98 W
SUITE 380
DESTIN, FL 32550-7230
Phone: (850) 862-4001 Fax: (850) 862-1612
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for WESLEY GIBSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHEROPTICIANRY LICENSEFLDO 4476
MEDICAIDFL630333100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
156FX1800X
- Technician/Technologist / Optician (Primary)
FL DO 4476

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.