Provider Demographics
NPI:1871573535
Name:NEMSER, GEOFFREY LELAND (OD)
Entity type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:LELAND
Last Name:NEMSER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3034 SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905
Mailing Address - Country:US
Mailing Address - Phone:203-975-7565
Mailing Address - Fax:203-975-8303
Practice Address - Street 1:3034 SUMMER ST
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905
Practice Address - Country:US
Practice Address - Phone:203-975-7565
Practice Address - Fax:203-975-8303
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2070152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT761260OtherCONNECTICARE
CT900346OtherBLOCK
CT111107OtherEYEMED
CT090002107CT01OtherBLUECROSS BLUE SHIELD
CTOV7834OtherHEALTHNET
CTP963887OtherOXFORD