Organization Active NPI

Gutshall Kohle Pelster Eyecare, LLC

Doing business as Gutshall Kohle Pelster Eyecare

  • Optometrist
  • O'Neill, NE
National Provider Identifier
1497817241
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GUTSHALL KOHLE PELSTER EYECARE, LLC
Doing business as
Gutshall Kohle Pelster Eyecare
Practice address
214 N 10TH St
Oneill, NE 68763-1604
Phone
(402) 336-2505
Fax
(402) 336-2505
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Dr. C Scott Gutshall, O.D.
Title
Owner
Phone
(402) 336-2505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

214 N 10TH St
Oneill, NE 68763-1604

Mailing address

PO Box 378
Oneill, NE 68763-0378
Phone (402) 336-2505

Other names 1

  • Gutshall Kohle Pelster Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070709000291 NE Part B Supplier - Clinic/Group Practice 9931209798 Receives reassigned benefits from 3 practitioners
Practice locations: Oneill, NE
O20100930072100 NE DME Supplier - Physician - Optometrist 9931209798 Practice locations: Oneill, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Gutshall & Kohle Eyecare LLC214 N 10TH St, Oneill, NE 68763-1604(402) 336-2505 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since May 29, 2007

National Provider Directory

National Provider Directory

Locations

214 N 10th St
Oneill, NE 68763
Phone (402) 336-2505

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1497817241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687630378",
            "telephone_number": "402-336-2505",
            "fax_number": "402-336-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N 10TH ST",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687631604",
            "telephone_number": "402-336-2505",
            "fax_number": "402-336-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTSHALL KOHLE PELSTER EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "GUTSHALL",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-336-2505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gutshall Kohle Pelster Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in O'Neill, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.