Lamar Wayne Gunnarson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

MN1980 Issued in MN

Practice address

2210 Highway 29 S
Alexandria, MN 56308-3487

Phone

(218) 639-0343

NPI assigned

Oct 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Eyecare of Minnesota P.a.

  • Optometrist
  • Alexandria, MN
  • NPI 1316304124
  Medicare reassignment NPD
• Vision Clinics Inc

  • Optometrist
  • Staples, MN
  • NPI 1871543884
  NPD (past) Authorized official
• Lakes Area Eyecare, Inc.

  • Optometrist
  • Baxter, MN
  • NPI 1992755920
  NPD (past)
• Schamber Eye Care, P.a.

  • Eyewear Supplier
  • Baxter, MN
  • NPI 1740693712
  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1336137256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 HAWKINS DR",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 HIGHWAY 29 S",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563083487",
            "telephone_number": "218-639-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNARSON",
        "first_name": "LAMAR",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "MN1980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387549100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Gregoire, M.D.
• Kristen Marie Gronwold
• Beth Groskreutz
• Shelby Groskreutz
• Angi Ruthann Gunderson
• Taylor Gustafson, DDS
• Kristen Marie Haabala Wiener, ND
• Joseph Mel Haack, DDS
• Teresa Marie Haakonson, RN
• Bethany Marie Hagman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.