Active NPI
Gerard Eye Co. ,PA
- Optometrist
- Minnetonka, MN
National Provider Identifier
1952820045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2882
- Legal business name
- GERARD EYE CO. ,PA
- Practice address
- 12455 Ridgedale Dr Ste 101
Minnetonka, MN 55305-1787 - Phone
- (952) 545-6010
- NPI assigned
- Sep 11, 2017
- 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. Ara Gerard, OD
- Title
- Optometrist/Owner
- Phone
- (952) 240-2643
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2882 | MN | Primary |
Addresses
Primary practice location
12455 Ridgedale Dr Ste 101
Minnetonka, MN 55305-1787
Mailing address
12455 Ridgedale Dr Ste 101
Minnetonka, MN 55305-1787
Phone (952) 545-6010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 973157100 | Medicaid | MN |
Other names 1
- Gerard Eye Co.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Minneapolis, MN
- NPI 1437247038
-
- Optometrist
- Minnetonka, MN
- NPI 1700875168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1511827200000",
"number": "1952820045",
"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": [],
"basic": {
"organization_name": "GERARD EYE CO. ,PA",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-11",
"last_updated": "2017-11-28",
"status": "A",
"authorized_official_last_name": "GERARD",
"authorized_official_first_name": "ARA",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "952-240-2643",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MN",
"license": "2882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "973157100",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gerard Eye Co.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Gerard Eye Co.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.