TYSON GIBBONS (OD) – Optometrist, NPI 1245016047

TYSON GIBBONS (OD) is a healthcare provider. based in Athens, Ohio. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 10989 (TX). The NPI Number for TYSON GIBBONS (OD) is 1245016047

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
TYSON GIBBONS (OD)
NPI
1245016047
Phone
(740) 594-2271
Address
14 UNIVERSITY ESTATES BLVD STE 100
Enumeration Date
6 September 2023
Last Update Date
19 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7403854017
Graduation Year
2023 (3 years ago)
PAC ID
3173068350
Group Practice PAC ID
2062837701
Professional Enrollment ID
I20240711003264
Address ID
OH431389087LO31630DRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:2State licenses:2Digital endpointsOther names

1,618 OPTOMETRY in OH

Provider Addresses for TYSON GIBBONS (OD)

  • 14 UNIVERSITY ESTATES BLVD STE 100

    ATHENS, OH 457013375

    Phone: (740) 594-2271

    Fax: (740) 594-2270

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $613.

Total Amount is formed as General ($613) + Research ($0) + Ownership ($0) = $613.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Alcon Vision LLC ($122).

Total Amount

$613

General + Research + Ownership

Payments

19

Total payment records

General Amount

$613

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240711003264IOptometryOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45701)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062837701View full group profile
NameSpecialtyState
O P T O M E T R YOH

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find TYSON GIBBONS (OD)'s NPI?
You can confirm TYSON GIBBONS (OD) with NPI 1245016047; it appears in the national provider directory.
Is TYSON GIBBONS (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does TYSON GIBBONS (OD) treat or focus on?
Patients typically see TYSON GIBBONS (OD) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Where does public data place TYSON GIBBONS (OD)?
The snapshot lists Athens, Ohio for TYSON GIBBONS (OD); download NPPES for the complete set.
Is TYSON GIBBONS (OD) a real provider?
This page reflects official NPPES data for NPI 1245016047. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

416, West Union Street, Grosvenor, Athens, Athens County, Ohio, 45701, United States
NPI: 1720048770
416, West Union Street, Grosvenor, Athens, Athens County, Ohio, 45701, United States
NPI: 1851351811
PO BOX 668
NPI: 1477514560
929 East State Street
NPI: 1942262423
PO BOX 668
NPI: 1669434130
14 UNIVERSITY ESTATES BLVD
NPI: 1023068228
199, Columbus Road, Athens, Athens Township, Athens County, Ohio, 45701, United States
NPI: 1962507715
416, West Union Street, Grosvenor, Athens, Athens County, Ohio, 45701, United States
NPI: 1538322508