Individual provider Active NPI

Patricia V Gelner, O.D.

  • Optometrist
  • Chesterfield, MO
National Provider Identifier
1396794053
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MOT02393 Issued in MO
Practice address
14386 Woodlake Dr
Chesterfield, MO 63017-5714
Phone
(314) 434-2626
Fax
(314) 434-2631
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X MOT02393 MO Primary

Addresses

Primary practice location

14386 Woodlake Dr
Chesterfield, MO 63017-5714

Mailing address

14386 Woodlake Dr
Chesterfield, MO 63017-5714
Phone (314) 434-2626

Other identifiers 5

IdentifierTypeStateIssuer
32331OtherMOBLUE CROSS
GE312309800MedicaidMO
07144OtherMOSPECTERA
325596OtherMOHEALTHLINK
MO2393OtherMOEYEMED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20040724000196 MO Practitioner - Optometry 9638159049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14386 Woodlake Dr
Chesterfield, MO 63017-5714
Phone (314) 434-2626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MOT02393MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gelner Optometry, P.C. Optometrist CurrentSince Oct 4, 2004 Accepting new patients

Locations

14386 Woodlake Dr
Chesterfield, MO 63017
Phone (314) 434-2626

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1396794053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14386 WOODLAKE DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175714",
            "telephone_number": "314-434-2626",
            "fax_number": "314-434-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14386 WOODLAKE DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175714",
            "telephone_number": "314-434-2626",
            "fax_number": "314-434-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELNER",
        "first_name": "PATRICIA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "MOT02393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "32331",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GE312309800",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "07144",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "325596",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "MO2393",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.