GERRY'S VISION SHOPPE, INC
NPI 1952309122
Eyewear Supplier in Glencoe, MN

NPI Status: Active since July 12, 2005

Contact Information

1234 GREELEY AVE N
GLENCOE, MN
ZIP 55336
Phone: (320) 864-6111
Fax: (320) 864-6134

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  • Organization
  • Eyewear Supplier

About GERRY'S VISION SHOPPE, INC

This page provides the complete NPI Profile along with additional information for Gerry's Vision Shoppe, Inc, a provider established in Glencoe, Minnesota operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1952309122 assigned on July 2005. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's former legal business name is Gerry's Vision Shoppe. The authorized official of this NPI record is Heidi Lynn Klockmann (President)

NPI
1952309122
Provider Legal Name
GERRY'S VISION SHOPPE, INC
Other Organization Name
GERRY'S VISION SHOPPE
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
1234 GREELEY AVE N GLENCOE, MN 55336
Location Phone
(320) 864-6111
Location Fax
(320) 864-6134
Mailing Address
1234 GREELEY AVE N PO BOX 186 GLENCOE, MN 55336
Mailing Phone
(320) 864-6111
Mailing Fax
(320) 864-6134
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-12-2005
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HEIDI LYNN KLOCKMANN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(320) 864-6111

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
21-18815OTHER (01)MEDICA
16062GEOTHER (01)BCBS
964661001450OTHER (01)PREFERRED ONE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1952309122
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29102601814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 6 + 0 + 1 + 8 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1952309122 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083613830 DALE E NELSON OD
Individual
Optometrist1234 GREELEY AVE N
GLENCOE, MN 55336
(320) 864-6111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952309122, enumerated in the NPI registry as an "organization" on July 12, 2005

The provider is located at 1234 Greeley Ave N Glencoe, Mn 55336 and the phone number is (320) 864-6111

This medical organization specializes in Eyewear Supplier with taxonomy code 332H00000X

The provider might be accepting Accepts: Medica Health Insurance, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 12, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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