Gerry'S Vision Shoppe

LBN: Gerry'S Vision Shoppe, Inc
Gerry'S Vision Shoppe is an health care organization with primary practice located at 1234 Greeley Ave N , Glencoe MN 55336-2103. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optician is the primary health care specialty. Gerry'S Vision Shoppe, Inc can be contacted via phone (320) 864-6111, or through Klockmann, Heidi Lynn via phone (320) 864-6111.

Contact Information

Primary practice address
1234 Greeley Ave N Glencoe MN 55336-2103
Phone: (320) 864-6111
Fax: (320) 864-6134
Website:
Map and Directions
Authorized official contact:
Name: Klockmann, Heidi Lynn
Phone: (320) 864-6111

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1952309122
LBN Legal business name Gerry'S Vision Shoppe, Inc
DBA Doing business as Gerry'S Vision Shoppe
Authorized official Klockmann, Heidi Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2005
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952309122 NPPES
Other 964661001450 PREFERRED ONE
Other 16062GE PREFERRED ONE
Other 21-18815 PREFERRED ONE

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