Ioannis P. Glavas, M.D., PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

207834 Issued in MA

Legal business name

IOANNIS P. GLAVAS, M.D., PLLC

Practice address

115 Newbury St Ste 502
Boston, MA 02116-2988

Phone

(617) 725-1921

Fax

(866) 365-1847

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ioannis P. Glavas, M.D.NPI 1093708778

Title

President

Phone

(617) 725-1921

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

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

• Ioannis P Glavas, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Boston, MA
  • NPI 1093708778
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709337600000",
    "number": "1285717348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 NEWBURY ST STE 502",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162988",
            "telephone_number": "617-725-1921",
            "fax_number": "866-365-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NEWBURY ST STE 502",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162988",
            "telephone_number": "617-725-1921",
            "fax_number": "866-365-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOANNIS P. GLAVAS, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A",
        "authorized_official_last_name": "GLAVAS",
        "authorized_official_first_name": "IOANNIS",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-725-1921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "207834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• International Place Dental Associates, P.C.
• Interwell Health Medical Practice of Kansas LLC
• Rossella Intini
• Intriguing Hair LLC
• Sunny Suresh Intwala, M.D.
• Marianna Da Fonseca Ioannou
• James P Ioli, DPM
• Iora Health New Hampshire, P.C.
• Dan Vlad Iosifescu, MD
• Patricia Iott

• Ophthalmology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.