Organization Active NPI

Gess Eye Clinic P.a.

  • Optometrist
  • Alexandria, MN
National Provider Identifier
1043470677
Registry record updated Aug 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1921 Issued in MN
Legal business name
GESS EYE CLINIC P.A.
Practice address
109 15TH Ave E
Alexandria, MN 56308-2512
Phone
(320) 762-5112
Fax
(320) 763-3297
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John Gess, O.D.NPI 1679572440
Title
Owner
Phone
(320) 762-5112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1921 MN Primary

Addresses

Primary practice location

109 15TH Ave E
Alexandria, MN 56308-2512

Mailing address

109 15TH Ave E
Alexandria, MN 56308-2512
Phone (320) 762-5112

Other identifiers 5

IdentifierTypeStateIssuer
077023000MedicaidMN
2200883OtherMEDICA
48G30GEOtherMNBLUE CROSS BLUE SHIELD
48G31GEOtherMNBLUE CROSS BLUE SHIELD
T65538OtherUNICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090422000468 MN Part B Supplier - Clinic/Group Practice 7012064496 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, MN
O20100930091683 MN DME Supplier - Physician - Optometrist 7012064496 Practice locations: Alexandria, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Gess Eye Clinic PA109 15TH Ave E, Alexandria, MN 56308-2509(320) 762-5112 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1999

National Provider Directory

National Provider Directory

Locations

109 15th Ave E
Alexandria, MN 56308
Phone (320) 762-5112

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1043470677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 15TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082512",
            "telephone_number": "320-762-5112",
            "fax_number": "320-763-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 15TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082512",
            "telephone_number": "320-762-5112",
            "fax_number": "320-763-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GESS EYE CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "GESS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-762-5112",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "077023000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2200883",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "48G30GE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "48G31GE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "T65538",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.