J Craig Gladman O.D. P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

03941TG Issued in TX

Legal business name

J CRAIG GLADMAN O.D. P.A.

Practice address

3635 Soncy
Amarillo, TX 79119

Phone

(806) 356-6868

Fax

(806) 351-0120

NPI assigned

Sep 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. J Craig Gladman, O.D. P.A

Title

President

Phone

(806) 356-6868

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jack C. Gladman, OD

  • Optometrist
  • Amarillo, TX
  • NPI 1649221565
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1225130263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 SONCY",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79119",
            "telephone_number": "806-356-6868",
            "fax_number": "806-351-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 SONCY",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79119",
            "telephone_number": "806-356-6868",
            "fax_number": "806-351-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J CRAIG GLADMAN O.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "GLADMAN",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-356-6868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D.   P.A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "03941TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0069PW",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mark W. Izzard, PSY. D.
• J. Brian Sims, MD, PA
• J. Michael Archer DDS Inc
• Jaber Medicine PLLC
• Mouin Mahmoud Jaber, MD
• Behnoush Jaberian Doraji, P.A.

• Optometrist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.