Active NPI
Gelner Optometry, P.C.
- Optometrist
- Chesterfield, MO
National Provider Identifier
1093032773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- GELNER OPTOMETRY, P.C.
- Practice address
- 14386 Woodlake Dr
Chesterfield, MO 63017-5714 - Phone
- (314) 434-2626
- Fax
- (314) 434-2631
- NPI assigned
- Apr 21, 2010
- 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
- Dr. Patricia Virtue Gelner, O.D.
- Title
- President
- Phone
- (314) 434-2626
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 | Primary |
Addresses
Primary practice location
14386 Woodlake Dr
Chesterfield, MO 63017-5714
Mailing address
14386 Woodlake Dr
Chesterfield, MO 63017-5714
Phone (314) 434-2626
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32331 | Other | MO | BLUE CROSS |
| 07144 | Other | MO | SPECTERA |
| 256594214 | Other | MO | MEDICARE ID - TYPE UNSPECIFIED |
| 325596 | Other | MO | HEALTHLINK |
| MO2393 | Other | MO | EYEMED |
| GE312309800 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14386 Woodlake Dr
Chesterfield, MO 63017
Phone (314) 434-2626
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Chesterfield, MO
- NPI 1396794053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271808000000",
"number": "1093032773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14386 WOODLAKE DR",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175714",
"telephone_number": "314-434-2626",
"fax_number": "314-434-2631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14386 WOODLAKE DR",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175714",
"telephone_number": "314-434-2626",
"fax_number": "314-434-2631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GELNER OPTOMETRY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-21",
"last_updated": "2010-04-21",
"status": "A",
"authorized_official_last_name": "GELNER",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "VIRTUE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-434-2626",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "32331",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "07144",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID - TYPE UNSPECIFIED",
"identifier": "256594214",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "325596",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "MO2393",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GE312309800",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.