Individual provider · Type 1 NPI

Roy Raymond Gibson, OD

Optometrist · Riverdale, UT

NPI number 1104816743 Active

Practice location

4949 S 900 W
Riverdale, UT 84405-3777

Fax (801) 612-3485

Mailing address

5690 S 3750 W
Roy, UT 84067-8161

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X1130289934 (UT)
Optometrist 152W00000X1130288904 (UT)

Optometrist: 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 e…

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About NPI 1104816743

Roy Raymond Gibson, OD's National Provider Identifier is 1104816743, issued on Oct 25, 2005. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Riverdale, UT. The record was last updated on Jul 13, 2026.