Active NPI
Gess Eye Clinic P.a.
- Optometrist
- Alexandria, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1921
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Gess, O.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 077023000 | Medicaid | MN | |
| 2200883 | Other | MEDICA | |
| 48G30GE | Other | MN | BLUE CROSS BLUE SHIELD |
| 48G31GE | Other | MN | BLUE CROSS BLUE SHIELD |
| T65538 | Other | UNICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Gess Eye Clinic PA | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Alexandria, MN
- NPI 1285715904
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.