GIBBONS OPTICAL, LLC
NPI 1851585822
Eyewear Supplier in Rochester, MN

Active since August 31, 2007
150 17TH AVE NW, ROCHESTER, MN 55901(507) 288-6964(507) 252-5307 Get Directions Write a Review

NPPES record last updated: May 27, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gibbons Optical, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GIBBONS OPTICAL, LLC (NPI 1851585822) is a healthcare organization registered as an eyewear supplier in Rochester, Minnesota and active in the NPI registry since August 2007. The organization lists Karen Marie Bjorngaard, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1851585822
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameGIBBONS OPTICAL, LLC
Location Address150 17TH AVE NWRochester, MN 55901-0321
Mailing Address150 17th Ave NwRochester, MN 55901-0321 · (507) 288-6964 · Fax (507) 252-5307
Fax(507) 252-5307
Organization SubpartNo
Authorized OfficialKaren Marie BjorngaardOptometrist · (507) 288-6964
Enumeration DateAugust 31, 2007
Last NPPES UpdateMay 27, 2008
✔ NPI 1851585822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in MN · 2343
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
150 17TH AVE NW, Rochester, MN 55901

Other Identifiers 3

Medicare NSC5036650001
Medicaid691325300MN
Medicare UPINU30915

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gibbons Optical, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Gibbons Optical, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Optometry
NPI 1588799761
150 17TH AVE NW
Rochester, MN 55901
(507) 288-6964
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1861287583
150 17TH AVE NW
Rochester, MN 55901
(507) 288-6964
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1184682668
111 S BROADWAY STE 101
Rochester, MN 55904
(623) 815-1600
✔ PECOS✔ Accepts Medicare1.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gibbons Optical, LLC's NPI number?

The NPI number for Gibbons Optical, LLC is 1851585822. It was assigned to this organization in the NPPES registry on August 31, 2007.

Where is Gibbons Optical, LLC located?

Gibbons Optical, LLC is located at 150 17th Ave NW, Rochester, MN 55901. The listed phone number is (507) 288-6964.

What is Gibbons Optical, LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Is Gibbons Optical, LLC enrolled in Medicare?

Yes. Gibbons Optical, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gibbons Optical, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Gibbons Optical, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Gibbons Optical, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list Gibbons Optical, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gibbons Optical, LLC was last updated on May 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.