Susan Marie Glad, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2319ATI Issued in OR

Practice address

2375 North Highway 99W
McMinnville, OR 97128

Phone

(503) 434-1140

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Susan M Glad, OD, PC

  • Optometrist
  • McMinnville, OR
  • NPI 1770893638
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1073694253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SW POPLAR ST",
            "city": "YAMHILL",
            "state": "OR",
            "postal_code": "971488046",
            "telephone_number": "503-434-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 NORTH HIGHWAY 99W",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "97128",
            "telephone_number": "503-434-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAD",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2319ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS BLUE S",
            "identifier": "059337000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karlie Gilbert, LMT
• Braden Gilbertson
• Alyssa Lorraine Ginter
• Stephanie Giunta
• Kristine Marian Givens
• Melissa Glenn, CADC
• Shawn Glidden
• Glitter and Glow, LLC
• Tayleena Gloss, LMT
• Sally L Godard, MD

• Optometrist in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.