Active NPI
Roman Gerber LLC
- Optometrist
- St Louis Park, MN
National Provider Identifier
1306365846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3368
- Legal business name
- ROMAN GERBER LLC
- Practice address
- 3840 Grand Way
St Louis Park, MN 55416-4788 - Phone
- (952) 848-2020
- NPI assigned
- Sep 15, 2017
- 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. Roman Gerber, OD
- Title
- Optometrist
- Phone
- (612) 819-2736
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 | 3368 | MN | Primary |
Addresses
Primary practice location
3840 Grand Way
St Louis Park, MN 55416-4788
Mailing address
3840 Grand Way
Saint Louis Park, MN 55416-4788
Phone (952) 848-2020
Other names 1
- Wink Family Eye Care of SLP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3840 Grand Way
St Louis Park, MN 55416
Phone (612) 819-2736
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- St Louis Park, MN
- NPI 1831486372
-
- Optometrist
- Chanhassen, MN
- NPI 1689233447
-
- Optometrist
- St Louis Park, MN
- NPI 1790267987
-
- Optometrist
- Farmingdale, ME
- NPI 1821478371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695772800000",
"number": "1306365846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3840 GRAND WAY",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554164788",
"telephone_number": "952-848-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3840 GRAND WAY",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554164788",
"telephone_number": "952-848-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROMAN GERBER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-15",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A",
"authorized_official_last_name": "GERBER",
"authorized_official_first_name": "ROMAN",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "612-819-2736",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MN",
"license": "3368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wink Family Eye Care of SLP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.