Individual provider Active NPI

Gerald David Geist Jr., O.D.

  • Optometrist
  • Selinsgrove, PA
National Provider Identifier
1790755627
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000715 Issued in PA
Practice address
980 N Susquehanna TRL
Selinsgrove, PA 17870-7766
Phone
(570) 743-9000
Fax
(570) 743-9001
NPI assigned
Jan 24, 2006
Last updated
Feb 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000715 PA Primary

Addresses

Primary practice location

980 N Susquehanna TRL
Selinsgrove, PA 17870-7766

Mailing address

980 N Susquehanna TRL
Selinsgrove, PA 17870-7766
Phone (570) 743-9000

Other identifiers 1

IdentifierTypeStateIssuer
0015151030001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address GEIST@Geist.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20100603000692 PA Practitioner - Optometry 6002945854 Practice locations: Selingsgrove, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

980 N Susquehanna Trail
Vision Center
Selingsgrove, PA 17870-7766
Phone (570) 374-8559

Merit-based Incentive Payment System (MIPS)

Final score
65.96 of 100Reported as individual
Quality
41.37
Promoting interoperability
87
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000715PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gerald Geist Optometrist CurrentSince May 8, 2013 Accepting new patients

Locations

980 N Susquehanna Trl
Selinsgrove, PA 17870
Phone (570) 374-0299

Interoperability endpoints

  • Direct secure messaging: g.geist.od@geistoptometry.isharemedicalrecords.com
  • Direct secure messaging: geist@geist.emadirect.md

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1790755627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 N SUSQUEHANNA TRL",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178707766",
            "telephone_number": "570-743-9000",
            "fax_number": "570-743-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 N SUSQUEHANNA TRL",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178707766",
            "telephone_number": "570-743-9000",
            "fax_number": "570-743-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIST",
        "first_name": "GERALD",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015151030001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GEIST@Geist.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "980 N Susquehanna Trl",
            "city": "Selinsgrove",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178707766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Selinsgrove, PA

Sources for this page

Verify at the official NPI Registry.