Active NPI
Albert E. Germain, O.D.
- Optometrist
- Waterbury, CT
National Provider Identifier
1841236122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 896
- Practice address
- 1320 W Main St
Waterbury, CT 06708-3119 - Phone
- (203) 755-4941
- Fax
- (203) 573-8372
- NPI assigned
- Jun 22, 2006
- Last updated
- Aug 21, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 896 | CT | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 896 | CT | |
| Pediatric Optometrist | 152WP0200X | 896 | CT |
Addresses
Primary practice location
1320 W Main St
Waterbury, CT 06708-3119
Mailing address
1320 W Main St
Waterbury, CT 06708-3119
Phone (203) 755-4941
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4318020 | Other | CT | AETNA PROVIDER # |
| 4611928 | Other | CT | CIGNA PROVIDER # |
| 678924 | Other | CT | CTCARE PROVIDER # |
| 0R0910 | Other | CT | HEALTH NET PROVIDER # |
| 004052197 | Medicaid | CT | |
| 090000896CT01 | Other | CT | BCBS PROVIDER # |
| P377996 | Other | CT | OXFORD PROVIDER # |
| 061078924 | Other | CT | TAX ID # |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110120000850 | CT | Practitioner - Optometry | 9537348792 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 896 | CT | MD | Acupuncturist |
Organizations & group practices 2
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.
-
- Optometrist
- Waterbury, CT
- NPI 1942721733
-
- Optometrist
- Waterbury, CT
- NPI 1316241466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377043200000",
"number": "1841236122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 W MAIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083119",
"telephone_number": "203-755-4941",
"fax_number": "203-573-8372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 W MAIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083119",
"telephone_number": "203-755-4941",
"fax_number": "203-573-8372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERMAIN",
"first_name": "ALBERT",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2013-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "896",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CT",
"license": "896",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "CT",
"license": "896",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER #",
"identifier": "4318020",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER #",
"identifier": "4611928",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CTCARE PROVIDER #",
"identifier": "678924",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET PROVIDER #",
"identifier": "0R0910",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004052197",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "090000896CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER #",
"identifier": "P377996",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "061078924",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.