Individual provider Active NPI

Geoffrey Leland Nemser, OD

  • Optometrist
  • Stamford, CT
National Provider Identifier
1871573535
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2070 Issued in CT
Practice address
3034 Summer St
Stamford, CT 06905
Phone
(203) 975-7565
Fax
(203) 975-8303
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2070 CT Primary

Addresses

Primary practice location

3034 Summer St
Stamford, CT 06905

Mailing address

3034 Summer St
Stamford, CT 06905
Phone (203) 975-7565

Other identifiers 6

IdentifierTypeStateIssuer
761260OtherCTCONNECTICARE
900346OtherCTBLOCK
111107OtherCTEYEMED
090002107CT01OtherCTBLUECROSS BLUE SHIELD
OV7834OtherCTHEALTHNET
P963887OtherCTOXFORD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040105000168 CT Practitioner - Optometry 3870492374 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002070CTMDChiropractor
2070CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressivision PC Optometrist CurrentSince Sep 22, 1980 Accepting new patients
Eye Group of Connecticut, LLC PastSince Oct 1, 2000 Accepting new patients
Orthopaedic Specialty Group, P.C. Past Accepting new patients
Jmsejb1 LLC PastSince Oct 1, 2024 Accepting new patients

Locations

3034 Summer St
Stamford, CT 06905
Phone (203) 883-8808

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1871573535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3034 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06905",
            "telephone_number": "203-975-7565",
            "fax_number": "203-975-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3034 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06905",
            "telephone_number": "203-975-7565",
            "fax_number": "203-975-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMSER",
        "first_name": "GEOFFREY",
        "middle_name": "LELAND",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "761260",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK",
            "identifier": "900346",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "111107",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "090002107CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OV7834",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P963887",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.