Jerald L. Monson Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

LD1955 Issued in MN

Practice address

127 W Vine St
Owatonna, MN 55060-2320

Phone

(507) 451-5300

Fax

(507) 451-5840

NPI assigned

Feb 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH COUNTRY HEALTH ALLI",
            "identifier": "114347",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OWATONNA",
            "identifier": "30554MO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS WASECA",
            "identifier": "30555MO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Miller
• Ellen Sophie Miller, LPCC
• Heather Ann Miller, APRN
• Anastasha Molina, PA
• David Holtan Moll, MS, LP
• Montera Health Minnesota LLC
• Kellyanna J Moore, MD
• Krista Moore, LICSW
• Linda Moore, MS, LADC
• Margaret P Moore, L.M.F.T.

• Optometrist in Owatonna, MN
• Providers in Owatonna, MN by specialty
• Optometrist in Minnesota

• 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.

Verify at the official NPI Registry.