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DR. SAM M EISNER O.D.
NPI 1619003431
Optometrist in Stamford, CT

Active since February 26, 2007Opted out of Medicare · through Nov 30, 2027
111 BROAD ST, STAMFORD, CT 06901(203) 324-3361 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sam M Eisner O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAM M EISNER O.D. (NPI 1619003431) is an individual optometrist in Stamford, Connecticut, licensed in Connecticut (848) and active in the NPI registry since February 2007. He has opted out of Medicare through November 30, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1619003431
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SAM M EISNERCredential: O.D.
Location Address111 BROAD STStamford, CT 06901-2797
Mailing Address111 Broad StStamford, CT 06901-2797
Phone(203) 324-3361
Sole ProprietorNo
Enumeration DateFebruary 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619003431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CT · 848
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
111 BROAD ST, Stamford, CT 06901
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Sam M Eisner O.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 30, 2015 through November 30, 2027.

Opt-Out Effective DateNovember 30, 2015
Opt-Out In Effect ThroughNovember 30, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EYEDR OF CONNECTICUT
Eyewear Supplier
111 BROAD ST
STAMFORD, CT 06901
Western Connecticut Planning Region (203) 348-3200
SAM EISNERO.D., P.C.
Optometrist
111 BROAD ST
STAMFORD, CT 06901
Western Connecticut Planning Region (203) 324-3361
EYECONN ASSOCIATES, LLC
Optometrist
111 BROAD ST
STAMFORD, CT 06901
Western Connecticut Planning Region (203) 324-3361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam Eisner's NPI number?

The NPI number for Sam Eisner is 1619003431. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Sam Eisner located?

Sam Eisner practices at 111 Broad St, Stamford, CT 06901. The listed phone number is (203) 324-3361.

What is Sam Eisner's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Sam Eisner enrolled in Medicare?

No. Sam Eisner has opted out of Medicare through November 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sam Eisner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.