Active NPI
Gutshall Kohle Pelster Eyecare, LLC
Doing business as Gutshall Kohle Pelster Eyecare
- Optometrist
- O'Neill, NE
National Provider Identifier
1497817241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Gutshall & Kohle Eyecare LLC | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- O'Neill, NE
- NPI 1386718807
-
- Optometrist
- O'Neill, NE
- NPI 1043379175
-
- Optometrist
- O'Neill, NE
- NPI 1356833438
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.