Jerald L Monson Jr OD

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JERALD L MONSON JR OD

Practice address

127 W Vine St
Owatonna, MN 55060-2320

Phone

(507) 451-5300

Fax

(507) 451-5840

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Jerald L Monson Jr., O.D.

Title

Owner

Phone

(507) 451-5300

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Monson Eyecare Center Doing business as

Locations

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1154499325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 W VINE ST",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602320",
            "telephone_number": "507-451-5300",
            "fax_number": "507-451-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W VINE ST",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602320",
            "telephone_number": "507-451-5300",
            "fax_number": "507-451-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERALD L MONSON JR OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "MONSON",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-451-5300",
        "authorized_official_name_suffix": "Jr.",
        "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": "SCHA",
            "identifier": "114345",
            "state": "FM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008073000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OWATONNA",
            "identifier": "35164MO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monson Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Lou Jacobsen, MSSW, LICSW
• Kari M Jacott, LPCC
• Nasteho Jama
• Janessa Jandt, LICSW
• Jeffrey D Loveless DDS PA
• Treena Marie Jirik, CNP
• Gene A Johnson, PSY.D.
• Jessica J Johnson, NP
• Kevin Stewart Johnson, DPT
• Megan Ann Johnson, PHARMD

• Optometrist in Owatonna, MN
• Providers in Owatonna, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.