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

Mr. Jeffrey Adam Gibeault, LICENSEDOPTICIAN

Individual provider Optician · NPI 1629659909

Mr. Jeffrey Adam Gibeault, LICENSEDOPTICIAN is an Optician in Valatie, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

12 Birch Rd
Valatie, NY 12184-4803
Phone: (518) 364-3242
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 008095-1 (NY)

Record details

NPI number1629659909
Entity typeIndividual (Type 1)
GenderMale
Credentials LICENSEDOPTICIAN
Sole proprietorYes
NPI enumeratedApril 18, 2021
Last updated in NPPESApril 18, 2021
Certification dateApril 18, 2021