Individual provider Active NPI

Michael Glassman, M.D.

  • Ophthalmology Physician
  • Hollywood, FL
National Provider Identifier
1124055736
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME79140 Issued in FL
Practice address
300 S Park Rd Ste 300
Hollywood, FL 33021-8353
Phone
(954) 925-2740
Fax
(954) 923-8379
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 213076-1 NY
Ophthalmology Physician 207W00000X ME79140 FL Primary

Addresses

Primary practice location

300 S Park Rd Ste 300
Hollywood, FL 33021-8353

Mailing address

300 S Park Rd Ste 300
Hollywood, FL 33021-8353
Phone (954) 925-2740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120322000175 FL Practitioner - Ophthalmology 4587683123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Florida College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Surgery Associates LLCGroup PAC ID 4688575244, 12 clinicians

Practice addresses (Care Compare)

300 S Park Rd
Suite 300
Hollywood, FL 33021-8353
Phone (954) 925-2740

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
213076-1NYMDOphthalmology Physician

Practice roles (7 of 9)

OrganizationSpecialtyStatusNew patients
Eye Surgery Associates LLC Current Accepting new patients
Eye Surgery Assocites LLC CurrentSince Jan 3, 2012 Accepting new patients
Eye Surgery Associates LLC Ophthalmology CurrentSince Jan 3, 2012 Accepting new patients
Jeffrey D. Nightingale, MD PC Ophthalmology Past Accepting new patients
Sheldon Rabin, M.D., P.C. Ophthalmology Past Accepting new patients
Manhattan Eye Ear and Throat Hospital Past Accepting new patients
Robert Latkany MD PC Ophthalmology PastSince Jan 18, 2013 Accepting new patients

Locations

2740 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 334-3124

300 S Park Rd
Ste 300
Hollywood, FL 33021
Phone (954) 925-2740

1200 SW 145th Ave
Ste 250
Pembroke Pines, FL 33027
Phone (954) 431-2777

2300 N Commerce Pkwy
Ste 307
Weston, FL 33326
Phone (954) 217-3155

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: michael.glassman.p3@direct.drea.nextgenshare.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1124055736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S PARK RD STE 300",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218353",
            "telephone_number": "954-925-2740",
            "fax_number": "954-923-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S PARK RD STE 300",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218353",
            "telephone_number": "954-925-2740",
            "fax_number": "954-923-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSMAN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "213076-1",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME79140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.