Individual provider Active NPI

Gary John Giesler, O.D.

  • Optometrist
  • Hermann, MO
National Provider Identifier
1396834552
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TO2265 Issued in MO
Practice address
228 East First
Hermann Eye Center
Hermann, MO 65041
Phone
(573) 486-3355
Fax
(573) 486-3355
NPI assigned
Oct 12, 2006
Last updated
Nov 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 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 TO2265 MO Primary

Addresses

Primary practice location

228 East First
Hermann Eye Center
Hermann, MO 65041

Mailing address

1150 Clock Tower Plaza
Washington Eye Center
Washington, MO 63090
Phone (636) 239-7722

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
I20120530000023 MO Practitioner - Optometry 9830208727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1150 Clock Tower PLZ
Washington, MO 63090-5333
Phone (636) 239-7722

228 E 1St St
Hermann, MO 65041-1114
Phone (573) 486-3355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TO2265MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hermann/Washington Eye Centers, LLC Optometrist CurrentSince Dec 5, 2011 Accepting new patients

Locations

228 E 1st St
Hermann, MO 65041
Phone (573) 486-3355

1150 Clock Tower Plz
Washington, MO 63090
Phone (636) 239-7722

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1396834552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 CLOCK TOWER PLAZA",
            "address_2": "WASHINGTON EYE CENTER",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "63090",
            "telephone_number": "636-239-7722",
            "fax_number": "636-239-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 EAST FIRST",
            "address_2": "HERMANN EYE CENTER",
            "city": "HERMANN",
            "state": "MO",
            "postal_code": "65041",
            "telephone_number": "573-486-3355",
            "fax_number": "573-486-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIESLER",
        "first_name": "GARY",
        "middle_name": "JOHN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO2265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermann, MO

Sources for this page

Verify at the official NPI Registry.