Active NPI
Gordon C Stelting, O.D.
- Optometrist
- Beatrice, NE
National Provider Identifier
1053331652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 795
- Practice address
- 2005 E Court St
Beatrice, NE 68310 - Phone
- (402) 420-2020
- Fax
- (402) 223-5286
- NPI assigned
- Jul 20, 2006
- Last updated
- Oct 12, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 795 | NE | Primary |
Addresses
Primary practice location
2005 E Court St
Beatrice, NE 68310
Mailing address
7930 O St
Lincoln, NE 68510
Phone (402) 420-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06769 | Other | NE | BCBS |
| 22-00082 | Other | NE | UHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 795 | KS | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255305600000",
"number": "1053331652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7930 O ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68510",
"telephone_number": "402-420-2020",
"fax_number": "402-323-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 E COURT ST",
"city": "BEATRICE",
"state": "NE",
"postal_code": "68310",
"telephone_number": "402-420-2020",
"fax_number": "402-223-5286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STELTING",
"first_name": "GORDON",
"middle_name": "C",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2009-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "795",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "06769",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "22-00082",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beatrice, NE
- JN Stallbaumer
- State of Nebraska Dept of Admin Services (Beatrice State Developmental Center)
- State of Nebraska Dept. of Admin. Services (400 State Building)
- State of Nebraska, Dept. of Admin. Services (Solar Cottages)
- Jonathan A Stelling, MD
- Nicole Stewart
- Kristine Stout
- Crystal Anne Strickland
- Brett A Studley, MD
- Susan J Sullivan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.