Provider Demographics
NPI:1194093492
Name:GIMBEL, FRANCIS G JR (ABO-AC)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:G
Last Name:GIMBEL
Suffix:JR
Gender:M
Credentials:ABO-AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:699 W GERMANTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1027
Mailing Address - Country:US
Mailing Address - Phone:484-306-3937
Mailing Address - Fax:610-422-2666
Practice Address - Street 1:699 W GERMANTOWN PIKE
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1027
Practice Address - Country:US
Practice Address - Phone:484-306-3937
Practice Address - Fax:610-422-2666
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA155852156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA155852OtherAMERICAN BOARD OF OPTICIANRY