Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gustaf Isaac Gibson, OD

Individual provider Optometrist · NPI 1215917307

Dr. Gustaf Isaac Gibson, OD is an Optometry in Logan, Utah. Graduated from Pacific University - College of Optometry in 2004, 22 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oregon and Utah.

Years since qualifying
22
Trained at
Pacific University - College of Optometry
Licensed in
OR, UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

145 W Cache Valley Blvd
Logan, UT 84341-8473
Phone: (435) 787-9273
Fax: (435) 787-9275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 5823517-9934 (UT)
Optometrist Taxonomy 152W00000X · Licence 2994T (OR)

Record details

NPI number1215917307
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJanuary 17, 2006
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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