Ara C. Gerard, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2882 Issued in MN

Practice address

12455 Ridgedale Dr Ste 101
Minnetonka, MN 55305-1787

Phone

(952) 545-6010

NPI assigned

Dec 28, 2006

Sex

Female

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

Other names 1

• Ara C Sudtelgte Former name

Medicare fee-for-service enrollment

Enrolled in MN

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 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Thomas L Nunnelee IncGroup PAC ID 4880792571, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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
  • Saint Cloud, MN
  • NPI 1942866371

  Optometrist

  Medicare reassignment Care Compare group NPD
• Thomas L Nunnelee Inc

  • Eyewear Supplier
  • Princeton, MN
  • NPI 1225194475
  Medicare reassignment Care Compare group NPD
• Greenway Vision, Inc

  • Optometrist
  • Minneapolis, MN
  • NPI 1114015732
  Medicare reassignment NPD
• Shoptikal LLC

  • Eyewear Supplier
  • Fairmont, MN
  • NPI 1649836016

  Optometrist

  NPD
• Shoptikal LLC

  • Eyewear Supplier
  • Rockford, IL
  • NPI 1467311142

  Optometrist

  NPD
• Cornerstone Vision Clinic LLC

  • Eyewear Supplier
  • Saint Michael, MN
  • NPI 1932266111
  NPD (past)
• Hoffman Eyecare, P.a.

  • Optometrist
  • Minnetonka, MN
  • NPI 1043344708
  NPD (past)
• Plymouth Vision Center, Inc.

  • Optometrist
  • Plymouth, MN
  • NPI 1902943822
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1841356532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12455 RIDGEDALE DR STE 101",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051787",
            "telephone_number": "952-545-6010",
            "fax_number": "952-252-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12455 RIDGEDALE DR STE 101",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051787",
            "telephone_number": "952-545-6010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12455 Ridgedale Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553051787",
            "country_code": "US",
            "telephone_number": "952-545-6010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3234 W Lake St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554164512",
            "country_code": "US",
            "telephone_number": "612-926-2878",
            "fax_number": "612-920-4303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERARD",
        "first_name": "ARA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "973157100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARA",
            "last_name": "SUDTELGTE",
            "middle_name": "C",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Amelia Gehrig, MD
• Rebeca Emily Gendler
• Christina Geng, LSW
• Allissa George
• Gerard Eye Co. ,PA
• Travis Wayne Gerhart, D.C.
• Germanson MD Psychiatry LTD
• Twila B Germanson, MD
• Nicole Gerogeorge
• Ann Gershone, DNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.
• 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.