Organization Active NPI

Leonard H. Glassman O.D., P.C.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1104985506
Registry record updated Oct 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005740-1 Issued in NY
Legal business name
LEONARD H. GLASSMAN O.D., P.C.
Practice address
6834 3Rd Ave
Brooklyn, NY 11220-5803
Phone
(718) 492-7500
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2012

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

Authorized official

Name
Dr. Nancy Glassman, O.D.NPI 1982639852
Title
President
Phone
(718) 492-7500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X TUV005740-1 NY Primary

Addresses

Primary practice location

6834 3Rd Ave
Brooklyn, NY 11220-5803

Mailing address

PO Box 76
Cedarhurst, NY 11516-0076
Phone (718) 492-7500

Other identifiers 3

IdentifierTypeStateIssuer
01781855MedicaidNY
1982639852OtherNYNPI NANCY
00330492MedicaidNY

National Provider Directory

National Provider Directory

Locations

6834 3rd Ave
Brooklyn, NY 11220
Phone (718) 492-7500

5102 5th Ave
Brooklyn, NY 11220
Phone (718) 492-7500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351296000000",
    "number": "1104985506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115160076",
            "telephone_number": "718-492-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6834 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205803",
            "telephone_number": "718-492-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD H. GLASSMAN O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2012-10-27",
        "status": "A",
        "authorized_official_last_name": "GLASSMAN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-492-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005740-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01781855",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NANCY",
            "identifier": "1982639852",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330492",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2012; 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.