Active NPI
George Gero, OD
- Optometrist
- Bismarck, ND
National Provider Identifier
1255388294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 367
- Practice address
- 111 E Century Ave
Bismarck, ND 58503-0412 - Phone
- (701) 222-1420
- Fax
- (701) 255-2414
- NPI assigned
- May 27, 2006
- Last updated
- Mar 7, 2023
- 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 | 367 | ND | Primary |
Addresses
Primary practice location
111 E Century Ave
Bismarck, ND 58503-0412
Mailing address
111 E Century Ave
Bismarck, ND 58503-0412
Phone (701) 222-1420
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12147 | Other | ELGIN BCBS MEDICARE | |
| 60388 | Medicaid | ND | |
| 800367 | Other | ND VISION BCBS | |
| 8883 | Other | BCBS MEDICARE | |
| 60388 | Other | ND SOCIAL SERVICE | |
| D001533 | Other | CHAMPUS TRICA RE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1255388294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E CENTURY AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030412",
"telephone_number": "701-222-1420",
"fax_number": "701-255-2414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E CENTURY AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030412",
"telephone_number": "701-222-1420",
"fax_number": "701-255-2414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERO",
"first_name": "GEORGE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ND",
"license": "367",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELGIN BCBS MEDICARE",
"identifier": "12147",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60388",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ND VISION BCBS",
"identifier": "800367",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MEDICARE",
"identifier": "8883",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ND SOCIAL SERVICE",
"identifier": "60388",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS TRICA RE",
"identifier": "D001533",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.