Lee Joseph Gilmore, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2812 Issued in MN

Practice address

4201 W Division St Ste 90
Saint Cloud, MN 56301-4546

Phone

(320) 259-1131

Fax

(320) 259-9394

NPI assigned

Jan 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: 106969@visionworks.emadirect.md

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.

• Visionworks, Inc.

  • Optometrist
  • Austin, MN
  • NPI 1881962173
  Medicare reassignment NPD
• Visionworks, Inc

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1427105865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W DIVISION ST STE 90",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014546",
            "telephone_number": "320-259-1131",
            "fax_number": "320-259-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W DIVISION ST STE 90",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014546",
            "telephone_number": "320-259-1131",
            "fax_number": "320-259-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "LEE",
        "middle_name": "JOSEPH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Gilk
• Brianna Marie Gill
• Naomi Rose Gillett, RN
• Gillette Children'S Specialty Healthcare
• Allison Marie Gilmore, PHARMD, BCPS
• Christine Marie Gilyard, MA LMFT
• Nicole Ginter
• Kayla Girgen, RD, LD
• Christa Ella Giriteka
• Kristin Ann Gjerset, APRN, CNP

• Optometrist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.