Gregory P Gerdes, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

NEBRASKA 985 TPA 162 Issued in NE

Practice address

3020 S 84TH St
Omaha, NE 68124-3215

Phone

(402) 391-1143

Fax

(402) 391-3335

NPI assigned

May 17, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE, AZ2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shoptikal LLC

  • Eyewear Supplier
  • Grand Island, NE
  • NPI 1952967325

  Optometrist

  Medicare reassignment NPD
• Mathis Eye Care LLC

  • Optometrist
  • Cottonwood, AZ
  • NPI 1932311081
  Medicare reassignment NPD
• Shopko Stores Operating Co. LLC

  • Eyewear Supplier
  • Lincoln, NE
  • NPI 1396797544
  NPD
• Shoptikal LLC

  • Eyewear Supplier
  • Lincoln, NE
  • NPI 1679139042

  Optometrist

  NPD
• Shopko Stores Operating Co. LLC

  • Eyewear Supplier
  • Albert Lea, MN
  • NPI 1528010642
  NPD
• Shoptikal LLC

  • Eyewear Supplier
  • Rockford, IL
  • NPI 1467311142

  Optometrist

  NPD

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1497707244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 S 130TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542914",
            "telephone_number": "402-330-0616",
            "fax_number": "402-391-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 S 84TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243215",
            "telephone_number": "402-391-1143",
            "fax_number": "402-391-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERDES",
        "first_name": "GREGORY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "NEBRASKA 985 TPA 162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41-098-5054-18",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Gerber, PTA
• Holly Gerberding
• Alex Gerch
• Rochelle Ann Gerch
• Caitlin R Gerdes-Lukowski, PLMHP, PMSW
• Heather R Gerdes
• Kenneth Gerdes, RN
• Michelle Gerdes, CPSS
• Mackenzie Gergen
• Gerimed, Inc.

• Optometrist in Omaha, NE
• Providers in Omaha, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.