Individual provider Active NPI

Tara Ann Geiman, O.D.

  • Optometrist
  • Jbsa Ft Sam Houston, TX
National Provider Identifier
1518977354
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8183T Issued in TX
Practice address
2791 N New Braunfels Ave
Jbsa Ft Sam Houston, TX 78234-2664
Phone
(812) 327-8854
NPI assigned
Aug 8, 2006
Last updated
Feb 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1640DT KY
Optometrist 152W00000X OPT002524 GA
Optometrist 152W00000X 8183T TX Primary

Addresses

Primary practice location

2791 N New Braunfels Ave
Jbsa Ft Sam Houston, TX 78234-2664

Mailing address

2791 N New Braunfels Ave
Jbsa Ft Sam Houston, TX 78234-2664
Phone (812) 327-8854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OPT002524GAMDOptometrist
1640DTKYMDOptometrist
8183TTXMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1518977354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2791 N NEW BRAUNFELS AVE",
            "city": "JBSA FT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782342664",
            "telephone_number": "812-327-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2791 N NEW BRAUNFELS AVE",
            "city": "JBSA FT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782342664",
            "telephone_number": "812-327-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIMAN",
        "first_name": "TARA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1640DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002524",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8183T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jbsa Ft Sam Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.