Active NPI
G. Daniel Glass, O.D.
- Optometrist
- Newtown Square, PA
National Provider Identifier
1285662965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000160
- Practice address
- 3550 W Chester Pike
Newtown Square, PA 19073-4128 - Phone
- (610) 325-7787
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000160 | PA | Primary |
Addresses
Primary practice location
3550 W Chester Pike
Newtown Square, PA 19073-4128
Mailing address
416 New Kent Dr
West Chester, PA 19380-6163
Phone (610) 436-4007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG000160 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216252800000",
"number": "1285662965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 NEW KENT DR",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193806163",
"telephone_number": "610-436-4007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 W CHESTER PIKE",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190734128",
"telephone_number": "610-325-7787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "G.",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2008-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newtown Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.