Individual
MR. JOHN A GESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
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 56308-2509
(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
—
030701146
—
MN
05
—
077023000
—
MN
01
—
22-00883
MEDICA
MN
01
—
48G31GE
BLUE CROSS/BLUE SHIELD
MN
01
—
HP34132/80031
HEALTHPARTNERS
—
01
—
T65538
HUMANA
MN
Enumeration date
07/14/2005
Last updated
04/20/2009
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