George Georgilis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.007097 Issued in OH

Practice address

8118 Montgomery Rd
Cincinnati, OH 45236-2935

Phone

(513) 891-9030

Fax

(513) 891-8049

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarkson Optometry Midwest IncGroup PAC ID 0749504165, 78 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clarkson Optometry Midwest Inc

  • Optometrist
  • Centerville, OH
  • NPI 1073917597
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1609801463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207170",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207170",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362935",
            "telephone_number": "513-891-9030",
            "fax_number": "513-891-8049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2498 Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Ft Mitchell",
            "state": "KY",
            "postal_code": "410173010",
            "country_code": "US",
            "telephone_number": "859-331-0431",
            "fax_number": "859-331-0675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9525 Kenwood Rd",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452426176",
            "country_code": "US",
            "telephone_number": "513-891-4121",
            "fax_number": "513-891-4179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8548 Beechmont Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452554708",
            "country_code": "US",
            "telephone_number": "513-474-0122",
            "fax_number": "513-474-1376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1064 State Route 28",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "OH",
            "postal_code": "451504940",
            "country_code": "US",
            "telephone_number": "513-831-3166",
            "fax_number": "513-831-2933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10566 Loveland Madeira Rd",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "OH",
            "postal_code": "451408962",
            "country_code": "US",
            "telephone_number": "513-683-3791",
            "fax_number": "513-683-0366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7437 Wooster Pike",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452273895",
            "country_code": "US",
            "telephone_number": "513-561-7704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3978 Alexandria Pike",
            "address_purpose": "LOCATION",
            "city": "Cold Spring",
            "state": "KY",
            "postal_code": "410761816",
            "country_code": "US",
            "telephone_number": "859-441-8500",
            "fax_number": "859-441-1356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGILIS",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "0915DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77009157",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica George
• Shante George
• Teruko Renee George
• Thomas E George
• Abigaile L Georgilis, MA, LPCC-S
• Corrin Nicole Geraci, OT
• Thomas D Geracioti Jr., MD
• Aneesha Gala Geraghty
• Sheela Rath Geraghty, M.D.
• Gerald J. Dacey D.D.S. Inc.

• Optometrist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.