DR. GARY GENE SISSON OD
NPI 1912048208
Optometrist in St Joseph, MI

Q: What is Gary Sisson's NPI number?

The NPI number for Gary Sisson is 1912048208. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Q: What is Gary Sisson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Sisson was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 09, 2007

2904 DIVISION STREET, ST JOSEPH, MI 49085(269) 983-2020(269) 983-3651 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Gary Gene Sisson Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GARY GENE SISSON OD (NPI 1912048208) is an individual optometrist in St Joseph, Michigan, licensed in Michigan (4901002192) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1912048208

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. GARY GENE SISSONCredential: OD

Location Address2904 DIVISION STREETSt Joseph, MI 49085

Mailing Address2904 Division StreetSt Joseph, MI 49085 · (269) 983-2020 · Fax (269) 983-3651

Phone(269) 983-2020

Fax(269) 983-3651

Sole ProprietorNo

Enumeration DateFebruary 9, 2007

Last NPPES UpdateJune 26, 2008

✔ NPI 1912048208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MI · 4901002192

Definition

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.

2904 DIVISION STREET, St Joseph, MI 49085

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Other Identifiers 5

Medicare NSC0722790001MI

Medicare UPINT79414

Other900A165060MI · Blue Cross Blue Shield Of Michigan

Medicare PINA17615001MI

Medicare PINC20444MI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Sisson's NPI number?

The NPI number for Gary Sisson is 1912048208. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Gary Sisson located?

Gary Sisson practices at 2904 Division Street, St Joseph, MI 49085. The listed phone number is (269) 983-2020.

What is Gary Sisson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Gary Sisson was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.