George Dennis Adrian, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

CT1035 Issued in CT

Practice address

1041 Poquonnock Rd
Groton, CT 06340-4211

Phone

(860) 445-1000

Fax

(860) 445-3347

NPI assigned

Apr 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

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.

• Kallinen Eye Care, LLC

  • Optometrist
  • Groton, CT
  • NPI 1114582129

  CT, Optometrist

  Medicare reassignment NPD
• Norwich Ophthalmology Group, P.C.

  • Eyewear Supplier
  • Groton, CT
  • NPI 1427649128
  NPD (past)

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1659337145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 POQUONNOCK RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404211",
            "telephone_number": "860-445-1000",
            "fax_number": "860-445-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 POQUONNOCK RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404211",
            "telephone_number": "860-445-1000",
            "fax_number": "860-445-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADRIAN",
        "first_name": "GEORGE",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "CT1035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "06-1606726",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 42 North Dental Care PLLC
• William J Aberizk Jr., MD
• Thomas Aceto
• Kim L. Adams, BA
• Sharon J Adams, PT
• Advanced Back and Neck Care Center LLC
• Ron A. Agostini, P.T.
• Airline Drug Inc
• Jared E. Akers, IDC
• Eguono Voke Akpoduado, PSY.D.

• All providers in Groton, CT
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.

Verify at the official NPI Registry.