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NPI 1285885673

IndividualActive

Tyrone Gibson, A.B.O.C.

NPI 1285885673 · Optician · Saint Louis, MO

Provider details

NPI number: 1285885673
Entity type: Individual
Primary specialty: OpticianEye and Vision Services Providers
Credential: A.B.O.C.
Sex: Male
Sole proprietor: No

Practice location

5014 Virginia Ave Apt 2w

Saint Louis, MO 63111-1739

Phone: (202) 487-1337

More MO providers

Mailing address

5014 Virginia Ave Apt 2w

Saint Louis, MO 63111-1739

Registry dates

Enumerated: 2008-10-03
Last updated: 2008-10-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Tyrone Gibson, A.B.O.C. — NPI 1285885673, Saint Louis, MO | NPI Central