Individual provider Active NPI

Tanya Glaser, M.D.

  • Ophthalmology Physician
  • Golden Valley, MN
National Provider Identifier
1164840211
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2018-00966 Issued in NC
Practice address
8501 Golden Valley Rd Ste 100
Golden Valley, MN 55427-4472
Phone
(763) 416-7600
Fax
(952) 567-6176
NPI assigned
Apr 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 2018-00966 NC Primary

Addresses

Primary practice location

8501 Golden Valley Rd Ste 100
Golden Valley, MN 55427-4472

Mailing address

2301 Erwin Rd
Durham, NC 27705-4699
Phone (510) 388-7674

Other practice location 1

7125 Tamarack Rd Ste 150
Woodbury, MN 55125-1316
Phone (763) 416-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180731001386 NC Practitioner - Ophthalmology 0648528141 Reassigns benefits to 1 organization
I20230629001145 MN Practitioner - Ophthalmology 0648528141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Francisco School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Eye Clinic LLCGroup PAC ID 2163315045, 17 clinicians

Practice addresses (Care Compare)

8501 Golden Valley Rd
Suite 100
Golden Valley, MN 55427-4472
Phone (763) 416-7600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018-00966NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Eye Clinic, LLC Ophthalmology CurrentSince Jun 15, 2023 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Northwest Eye Clinic, LLC Ophthalmology Current Accepting new patients

Locations

8501 Golden Valley Rd
Ste 100
Golden Valley, MN 55427
Phone (763) 416-7655

12000 Elm Creek Blvd N
Ste 100
Maple Grove, MN 55369
Phone (763) 416-7653

12501 Whitewater Dr
Ste 110
Minnetonka, MN 55343

2601 39th Ave NE
#1
Saint Anthony, MN 55421
Phone (763) 416-7674

250 Central Ave N
Ste 105
Wayzata, MN 55391

250 Central Ave N
Ste 107
Wayzata, MN 55391

7125 Tamarack Rd
Ste 150
Woodbury, MN 55125

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

Interoperability endpoints

  • Direct secure messaging: tglaser@uvpnec.intellechartdirect.net
  • Direct secure messaging: tglaser222108@direct.medicine.duke.edu

Organizations & group practices 3

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": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1164840211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054699",
            "telephone_number": "510-388-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 GOLDEN VALLEY RD STE 100",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274472",
            "telephone_number": "763-416-7600",
            "fax_number": "952-567-6176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7125 Tamarack Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551251316",
            "country_code": "US",
            "telephone_number": "763-416-7600",
            "fax_number": "763-416-7634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASER",
        "first_name": "TANYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2018-00966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

Verify at the official NPI Registry.