Individual provider Active NPI

Terri Ann Gieske, O. D.

  • Optometrist
  • Mesa, AZ
National Provider Identifier
1962562983
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
773 Issued in AZ
Practice address
6239 E Brown Rd
Ste 113
Mesa, AZ 85205-4933
Phone
(480) 218-0663
Fax
(480) 324-1494
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 773 AZ Primary

Addresses

Primary practice location

6239 E Brown Rd
Ste 113
Mesa, AZ 85205-4933

Mailing address

6239 E Brown Rd
Ste 113
Mesa, AZ 85205-4933
Phone (480) 386-5118

Other identifiers 1

IdentifierTypeStateIssuer
861006141OtherAZTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100713000550 AZ Practitioner - Optometry 4385776228 Reassigns benefits to 1 organization
I20251003000343 CO Practitioner - Optometry 4385776228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Hour Optical Medical Services, PCGroup PAC ID 4880662485, 42 clinicians
Mbo Vision IncGroup PAC ID 4183037096, 2 clinicians
John H McDougall OD Arizona PCGroup PAC ID 3274880117, 44 clinicians

Practice addresses (Care Compare)

1685 S Co Blvd
Unit O
Denver, CO 80222-4011
Phone (303) 757-6747

18148 W 92ND LN Unit
400 Mountain Breeze Optometry
Arvada, CO 80007-8164
Phone (941) 780-0328

6239 E Brown Rd
Suite 113
Mesa, AZ 85205-4933
Phone (480) 218-0663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
773AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mbo Vision Inc Optometrist CurrentSince Jun 15, 2025 Accepting new patients
John H McDougall OD Arizona PC Optometrist CurrentSince Feb 1, 2021 Accepting new patients
One Hour Optical Medical Services, PC Optometrist Past Accepting new patients

Locations

13125 N La Montana Dr
Ste 1
Fountain Hls, AZ 85268
Phone (480) 816-0102

6239 E Brown Rd
Ste 113
Mesa, AZ 85205
Phone (480) 218-0663

18148 W 92nd Ln
Unit 400
Arvada, CO 80007
Phone (720) 722-5535

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1962562983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6239 E BROWN RD",
            "address_2": "STE 113",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054933",
            "telephone_number": "480-386-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6239 E BROWN RD",
            "address_2": "STE 113",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054933",
            "telephone_number": "480-218-0663",
            "fax_number": "480-324-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIESKE",
        "first_name": "TERRI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "861006141",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.