Provider Demographics
NPI:1487624441
Name:GEIGER, JAMES MICHAEL JR (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:MICHAEL
Last Name:GEIGER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:810 ELM ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-4152
Mailing Address - Country:US
Mailing Address - Phone:910-321-0356
Mailing Address - Fax:910-321-0359
Practice Address - Street 1:810 ELM ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-4152
Practice Address - Country:US
Practice Address - Phone:910-321-0356
Practice Address - Fax:910-321-0359
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC20602207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2331551OtherMCR GROUP
NC89014JWMedicaid
NC8935040Medicaid
NC8935049Medicaid
NC890133TMedicaid
NC35049OtherBCBS
NC890133TMedicaid
NC35049OtherBCBS