Individual provider Active NPI

Nina Glauch, O.D.

  • Optometrist
  • Flint, MI
National Provider Identifier
1235542119
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004824 Issued in MI
Practice address
701 S Ballenger Hwy
Flint, MI 48532-3804
Phone
(810) 238-3603
NPI assigned
Jun 9, 2014
Last updated
Apr 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004824 MI Primary

Addresses

Primary practice location

701 S Ballenger Hwy
Flint, MI 48532-3804

Mailing address

701 S Ballenger Hwy
Flint, MI 48532-3804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150414000812 MI Practitioner - Optometry 4284952706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Michigan Eye Care Center PCGroup PAC ID 4486566098, 31 clinicians

Practice addresses (Care Compare)

850 W N St
Suite 100
Jackson, MI 49202-3196
Phone (877) 852-8463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Michigan Eye Care Center, PC Optometrist CurrentSince Aug 12, 2022 Accepting new patients

Locations

2350 E Stadium Blvd
Ste 10
Ann Arbor, MI 48104
Phone (248) 357-5100

363 Fremont St
Ste 301
Battle Creek, MI 49017
Phone (616) 964-3018

2518 Capital Ave SW
Battle Creek, MI 49015

1600 Commerce Park Dr
Ste 100
Chelsea, MI 48118
Phone (734) 475-7359

850 W North St
Ste 100
Jackson, MI 49202
Phone (517) 290-5298

1116 W Ganson St
Jackson, MI 49202
Phone (517) 782-9436

850 W North St
#104
Jackson, MI 49202
Phone (248) 647-9790

4016 W Main St
Kalamazoo, MI 49006
Phone (269) 344-3366

3390 E Jolly Rd
Lansing, MI 48910
Phone (517) 393-2020

1515 Lake Lansing Rd
Ste H
Lansing, MI 48912
Phone (517) 487-6511

812 Bradley St
Owosso, MI 48867
Phone (989) 725-8171

6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974

Interoperability endpoints

  • Direct secure messaging: nglauch@sei.intellechartdirect.net

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1235542119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323804",
            "telephone_number": "810-238-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAUCH",
        "first_name": "NINA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.