GERRY'S VISION SHOPPE INC NPI 1952309122

NPI Information

NPI: 1952309122
Provider Name: GERRY'S VISION SHOPPE, INC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
:
Address: 1234 GREELEY AVE N
GLENCOE, MN
ZIP 55336
Phone: (320) 864-6111

Map and Directions

Get Directions

NPI Details

GERRY'S VISION SHOPPE, INC is an eyewear supplier in Glencoe, MN. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. GERRY'S VISION SHOPPE, INC NPI is 1952309122. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

1234 GREELEY AVE N
GLENCOE, MN
ZIP 55336-103
Phone: (320) 864-6111
Fax: (320) 864-6134

The provider's authorized official is Heidi Lynn Klockmann .
The authorized official title is President and has the following contact phone number (320) 864-6111.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician			No
2	332H00000X	Eyewear Supplier				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	964661001450	OTHER	PREFERRED ONE
2	16062GE	OTHER	BCBS
3	21-18815	OTHER	MEDICA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI