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Deactivated NPI 1518964261 Deactivated / Inactive NPI Male Practitioner

Dr. Rex W Gibson , OD

Optometrist • Lyons, KS

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Rex Gibson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 07, 2005
NPI Deactivation Date April 10, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Rex Gibson, OD was a registered Optometrist practicing in Lyons, KS. Throughout an active medical career spanning 19 years, Dr. Gibson provided care at the practice location at 111 W 1ST ST until profile deactivation on 2024-04-10.

Practice Location & Contact Primary Location

Practice Address

111 W 1st St

Lyons, KS 675541901

Telephone 6202572600
Fax 6202575033
Associated Practice Facility / Clinic
🏢 Grene Vision Group Llc Facility NPI 1649482282

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Lyons, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Lyons, KS (751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License KS 0945-2

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 10, 2024

Record deactivated on April 10, 2024

NPI Profile Active March 10, 2008

NPI status registered as active in NPPES database

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Updated Practice Location March 10, 2008

Registered at 111 W 1ST ST, LYONS, KS 675541901 (Tel: 6202572600)

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Updated Business Mailing Address March 10, 2008

Registered at 1851 N WEBB RD, ATTN FLR 2, WICHITA, KS 672063413 (Tel: 3166362010)

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Provider Name / Credentials Updated March 10, 2008

Recorded as REX GIBSON, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2008

Optometrist (License #0945-2 in KS)

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Initial NPI Registration & Enumeration July 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518964261
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2005
Last Update: March 10, 2008
Deactivation Date: April 10, 2024

Mailing Address

1851 N Webb Rd, Attn Flr 2

Wichita, KS 672063413

Phone: 3166362010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.