Active NPI
Jerald L. Monson Jr., O.D.
- Optometrist
- Owatonna, MN
National Provider Identifier
1679546261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- LD1955
- Practice address
- 127 W Vine St
Owatonna, MN 55060-2320 - Phone
- (507) 451-5300
- Fax
- (507) 451-5840
- NPI assigned
- Feb 13, 2006
- Last updated
- Feb 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | LD1955 | MN | Primary |
Addresses
Primary practice location
127 W Vine St
Owatonna, MN 55060-2320
Mailing address
127 W Vine St
Owatonna, MN 55060-2320
Phone (507) 451-5300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD1955 | MN | MD | Optometrist |
| 1955 | MN | MD | Physical Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1679546261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 W VINE ST",
"city": "OWATONNA",
"state": "MN",
"postal_code": "550602320",
"telephone_number": "507-451-5300",
"fax_number": "507-451-5840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 W VINE ST",
"city": "OWATONNA",
"state": "MN",
"postal_code": "550602320",
"telephone_number": "507-451-5300",
"fax_number": "507-451-5840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONSON",
"first_name": "JERALD",
"middle_name": "L.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "LD1955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owatonna, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.