Physician Compare National (NPI:1790755627)

HEALTHCARE PROVIDER: GERALD DAVID GEIST JR. O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1790755627
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6002945854
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100603000692
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GEIST
	Individual professional last name
Provider First Name	GERALD
	Individual professional first name
Provider Middle Name	DAVID
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	SOUTHERN COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	980 N SUSQUEHANNA TRAIL
	Group Practice or individual's line 1 address
Line 2 Street Address	VISION CENTER
	Group Practice or individual's line 2 address
City	SELINGSGROVE
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	178707766
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5703748559
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y