Organization Active NPI

Optimum Regenerative Care LLC

Doing business as Connecticut Centers For Neuropathy & Chronic Pain

  • Family Medicine Physician
  • Bethel, CT
National Provider Identifier
1396382685
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OPTIMUM REGENERATIVE CARE LLC
Doing business as
Connecticut Centers For Neuropathy & Chronic Pain
Practice address
2 Stony Hill Rd Ste 208
Bethel, CT 06801-1045
Phone
(203) 917-4774
NPI assigned
Dec 5, 2019
Last updated
Sep 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven GeoffrionNPI 1730784430
Title
Owner
Phone
(203) 917-4774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2 Stony Hill Rd Ste 208
Bethel, CT 06801-1045

Mailing address

46 Benson Dr
Danbury, CT 06810-7231

Other names 1

  • Connecticut Centers For Neuropathy & Chronic Pain Doing business as

National Provider Directory

National Provider Directory

Locations

46 Benson Dr
Danbury, CT 06810

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1396382685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 BENSON DR",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STONY HILL RD STE 208",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011045",
            "telephone_number": "203-917-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM REGENERATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "GEOFFRION",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-917-4774"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connecticut Centers For Neuropathy & Chronic Pain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethel, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.