NPI 1265968614 · live from the CMS NPI Registry
Nathaniel R Gelinas, D.O.
Ophthalmology in Bloomington, MN. National Provider Identifier 1265968614, active.
NPI record
| NPI | 1265968614 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 7920 Old Cedar Ave S, Bloomington, MN 55425 |
| Practice phone | 952-428-1800 |
| Mailing address | 2925 Chicago Ave, Minneapolis, MN 55407 |
| Enumerated | May 4, 2017 |
| Last updated | March 21, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | DO3184 (ME) |
| Ophthalmology | 207W00000X | TL.0007523 (CO) |
| Ophthalmology primary | 207W00000X | 78104 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.