Damien Joseph Gietzen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

003155 Issued in CT

Practice address

37 Soundview Rd
Guilford, CT 06437-2916

Phone

(203) 453-2222

NPI assigned

Jul 24, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Great Lakes Vision Rehabilitation PLLC

  • Vision Therapy Optometrist
  • Shelby Township, MI
  • NPI 1962118760
  NPD
• Gaylord Hospital, Inc.

  • Long Term Care Hospital
  • Wallingford, CT
  • NPI 1730137753
  NPD (past)
• Padula Institute of Vision Rehabilitation, LLC

  • Low Vision Rehabilitation Optometrist
  • Guilford, CT
  • NPI 1871783076
  NPD (past)

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1629687835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MONTICELLO DR",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054165",
            "telephone_number": "508-818-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 SOUNDVIEW RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372916",
            "telephone_number": "203-453-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIETZEN",
        "first_name": "DAMIEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-24",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CT",
            "license": "003155",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CT",
            "license": "003155",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "003155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genovese Drug Stores Inc
• Gentle Hands Chiropractic,L.L.C
• George Shafranov MD LLC
• Sarah S Gerritz, MD
• Christina Giebisch, LCSW
• Susan Ginsburg, PT,MS
• Daniela Koksch Giordano
• Charles E. Glass, M.D.
• Kathryn Glazer, DMD
• Gloria Small, PHD. PC

• Optometrist in Guilford, CT
• Providers in Guilford, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.