Glaze Optical, Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

GLAZE OPTICAL, INC

Practice address

2275 Michael Faraday Dr Ste 4
San Diego, CA 92154-7927

Phone

(805) 630-7375

NPI assigned

Jan 7, 2021

Organization subpart

No

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

Authorized official

Name

Tony Mario Esposito

Title

Ceo

Phone

(805) 630-7375

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1184212946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 E RADCLIFFE DR",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112832",
            "telephone_number": "805-630-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 MICHAEL FARADAY DR STE 4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921547927",
            "telephone_number": "805-630-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAZE OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "ESPOSITO",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "MARIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-630-7375"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Grace Glasson
• Lauren Glatt
• Peter Glatt
• Heather Glavin
• Jade Glawe
• Sarah Jane Glazebrook, DABR
• Christopher Glazener, MD
• Gwen Ellen Gleason-Rohrer, M.D.
• Maeghan Gleason
• Meredith Gleason, LEP

• Optician in San Diego, CA
• Providers in San Diego, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.