Gerry's Vision Shoppe, Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

GERRY'S VISION SHOPPE, INC

Practice address

1234 Greeley Ave N
Glencoe, MN 55336-2103

Phone

(320) 864-6111

Fax

(320) 864-6134

NPI assigned

Jul 12, 2005

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heidi Lynn Klockmann

Title

President

Phone

(320) 864-6111

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Gerry's Vision Shoppe Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dale E Nelson, OD

  • Optometrist
  • Glencoe, MN
  • NPI 1083613830
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1952309122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 GREELEY AVE N",
            "address_2": "PO BOX 186",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553362103",
            "telephone_number": "320-864-6111",
            "fax_number": "320-864-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 GREELEY AVE N",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553362103",
            "telephone_number": "320-864-6111",
            "fax_number": "320-864-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERRY'S VISION SHOPPE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KLOCKMANN",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-864-6111"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "16062GE",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "21-18815",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "964661001450",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gerry's Vision Shoppe",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bryan James Fritsch, D.O.
• Angela Rose Fruetel
• Lianna Kae Garceau
• Scott Paul Gauer, DC
• Jenna Susanne Gauger, ADT
• Glencoe Family Chiropractic, P.a.
• Glencoe Regional Health Services
• Glencoe Regional Health Services
• Glencoe Regional Health Services
• Glencoe Regional Health Services

• Eyewear Supplier in Glencoe, MN
• Providers in Glencoe, MN by specialty
• Eyewear Supplier in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.