MEDICARE: GEOFFREY W EMERSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	34519	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4488236001	OTHER	MA	CIGNA PAL
2	84248	OTHER	MA	AETNA/USHC
3	070360047	OTHER	MA	VSP
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	AA29363	OTHER	MA	HARVARD PILGRIM HEALTH CA
6	0800790	OTHER	MA	EVERCARE
7	729116	OTHER	MA	TUFTS HEALTH PLAN
8	2200775	OTHER	MA	UNITED HEALTH CARE

General Provider Information

NPI Number	:	1205812310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEOFFREY W EMERSON MD

Provider Business Mailing Address
First Line	:	2 WEST STREET
Second Line	:	STE D
City	:	S WEYMOUTH
State	:	MA
Zip	:	02190-1861
Country	:	US
Telephone Number	:	781-337-2400
Fax Number	:	781-337-5398

Provider Business Practice Location Address
First Line	:	2 WEST STREET
Second Line	:	STE D
City	:	S WEYMOUTH
State	:	MA
Zip	:	02190-1861
Country	:	US
Telephone Number	:	781-337-2400
Fax Number	:	781-337-5398

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	04/24/2008

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Directions to “ GEOFFREY W EMERSON MD” Practice Location

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