| Doctor Name: | DR. AMIE SUSSAN GISBERT |
| NPI Number: | 1053633248 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | O.D. |
| License Number: | 7400TG |
| Business Practice Address: | 9215 Broadway St Ste 119 Pearland, TX - 775848987 |
| Business Phone Number: | 2819972015 |
| Business Fax Number: | 2819772016 |
| Mailing Address: | 4914 Meadowglen Dr, PEARLAND |
| State: | TX |
| Postal Code: | 775847667 |
| Phone Number: | 2814357968 |
| Fax Number: | 2812862826 |
| NPI Enumeration Date: | 02/16/2010 |
| NPI Last Update Date: | 06/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | 7400TG |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |