Organization
GESS EYE CLINIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN GESS O.D. (OWNER)
(320) 762-5112
Entity
Organization
Contact information
Practice address
109 15TH AVE E, ALEXANDRIA, MN 56308-2512
(320) 762-5112
(320) 763-3297
Mailing address
109 15TH AVE E, ALEXANDRIA, MN 56308-2512
(320) 762-5112
(320) 763-3297
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1921
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
077023000
—
MN
01
—
2200883
MEDICA
—
01
—
48G30GE
BLUE CROSS BLUE SHIELD
MN
01
—
48G31GE
BLUE CROSS BLUE SHIELD
MN
01
—
T65538
UNICARE
—
Enumeration date
06/17/2008
Last updated
08/07/2009
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