Organization Active NPI

M Sherill Glover OD PLLC

  • Optometrist
  • Princeton, NC
National Provider Identifier
1295067650
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
M SHERILL GLOVER OD PLLC
Practice address
110 E Edwards St
Princeton, NC 27569-7279
Phone
(919) 936-2020
Fax
(919) 936-2444
NPI assigned
Feb 9, 2010
Last updated
Jan 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Dr. Marion Sherill Glover, O.D.NPI 1427089051
Title
President
Phone
(919) 936-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

110 E Edwards St
Princeton, NC 27569-7279

Mailing address

PO Box 557
Princeton, NC 27569-0557
Phone (919) 936-2020

Other identifiers 2

IdentifierTypeStateIssuer
09324OtherNCBLUE CROSS/BLUE SHIELD
8909324MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100316000189 NC Part B Supplier - Clinic/Group Practice 6103951264 Receives reassigned benefits from 2 practitioners
Practice locations: Princeton, NC
O20100930012732 NC DME Supplier - Physician - Optometrist 6103951264 1 other NPI on this enrollment
Practice locations: Princeton, NC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
M Sherill Glover OD PLLC110 E Edwards St, Princeton, NC 27569-7279(919) 936-2020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1999

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1295067650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 557",
            "city": "PRINCETON",
            "state": "NC",
            "postal_code": "275690557",
            "telephone_number": "919-936-2020",
            "fax_number": "919-936-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E EDWARDS ST",
            "city": "PRINCETON",
            "state": "NC",
            "postal_code": "275697279",
            "telephone_number": "919-936-2020",
            "fax_number": "919-936-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M SHERILL GLOVER OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "SHERILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-936-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "09324",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909324",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.