Organization Active NPI

Jerald L Monson Jr OD

Doing business as Monson Eyecare Center

  • Optometrist
  • Owatonna, MN
National Provider Identifier
1154499325
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JERALD L MONSON JR OD
Doing business as
Monson Eyecare Center
Practice address
127 W Vine St
Owatonna, MN 55060-2320
Phone
(507) 451-5300
Fax
(507) 451-5840
NPI assigned
Dec 4, 2006
Last updated
Feb 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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.NPI 1679546261
Title
Owner
Phone
(507) 451-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

127 W Vine St
Owatonna, MN 55060-2320

Mailing address

127 W Vine St
Owatonna, MN 55060-2320
Phone (507) 451-5300

Other names 1

  • Monson Eyecare Center Doing business as

National Provider Directory

National Provider Directory

Locations

127 W Vine St
Owatonna, MN 55060
Phone (507) 451-5300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monson Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owatonna, MN

Sources for this page

  • 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.