Gaida's Opticians,LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

GAIDA'S OPTICIANS,LLC

Practice address

1545 Northway Dr Ste 100
Saint Cloud, MN 56303-1941

Phone

(320) 252-2002

Fax

(320) 253-8024

NPI assigned

Sep 26, 2006

Last updated

Dec 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael David Sufka, O.D.

Title

Owner/Optometrist

Phone

(320) 252-2002

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1427159011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 NORTHWAY DR STE 100",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031941",
            "telephone_number": "320-252-2002",
            "fax_number": "320-253-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 NORTHWAY DR STE 100",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031941",
            "telephone_number": "320-252-2002",
            "fax_number": "320-253-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIDA'S OPTICIANS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "SUFKA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "320-252-2002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U CARE",
            "identifier": "116807",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2126676",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE PLUS",
            "identifier": "54332GA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexine Anderson Gaetz, LGSW
• Mikala Rae Gaffke
• Stephanie Marie Gagelin, PA-C
• Kelsie Gagne, RN
• Tina Marie Gaida, MSW, LICSW
• Mayra Licet Galicia
• Katie Ann Gall, BS, LADC
• Bradley C Gallagher, PA-C
• Bryon Jason Gallant, PSYD
• Divine Gamado

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.