Active NPI
George Raymond Stimac, O.D.
- Optometrist
- Manchester, CT
National Provider Identifier
1063484103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 002513
- Practice address
- 125 Buckland Hills Dr
@ Target Optical
Manchester, CT 06042-8701 - Phone
- (860) 327-0085
- Fax
- (860) 327-0087
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 002513 | CT | Primary |
Addresses
Primary practice location
125 Buckland Hills Dr
@ Target Optical
Manchester, CT 06042-8701
Mailing address
35 Derek LN
Windsor, CT 06095-1739
Phone (860) 683-4490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180309000214 | CT | Practitioner - Optometry | 3779844683 | Practice locations: Manchester, CT |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002513 | CT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063484103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 DEREK LN",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060951739",
"telephone_number": "860-683-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 BUCKLAND HILLS DR",
"address_2": "@ TARGET OPTICAL",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060428701",
"telephone_number": "860-327-0085",
"fax_number": "860-327-0087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIMAC",
"first_name": "GEORGE",
"middle_name": "RAYMOND",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "002513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.