Jerald L Monson Jr OD
Organization Active NPI Optometrist · Waseca, MN
NPI 1447328646 · NPPES record last updated Aug 4, 2010
Key facts
- NPI
- 1447328646
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- JERALD L MONSON JR OD
- Practice address
- 1270 State St N
Waseca, MN 56093-2706 - Phone
- (507) 835-4558
- Fax
- (507) 835-4558
- NPI assigned
- Dec 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Jerald L Monson Jr.
- Title
- Owner
- Phone
- (507) 835-4558
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
1270 State St N
Waseca, MN 56093-2706
Mailing address
1270 State St N
Waseca, MN 56093-2706
Phone (507) 835-4558
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 630070700 | Medicaid | MN | |
| 114345 | Other | MN | SCHA |
| 37039MO | Other | MN | BCBS WASECA |
Other names
- Monson Eyecare Center
Other providers in Waseca, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.