M Sherill Glover OD PLLC

Organization Active NPI Optometrist · Princeton, NC

NPI 1295067650 · NPPES record last updated Jan 15, 2026

Key facts

NPI
1295067650
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 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
Organization subpart
No

Authorized official

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

Other NPIs on the same Medicare enrollment 1

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

Practitioners 2

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

Laboratory certificates & supplier records

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

Medicare medical equipment & supply locations

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NC

Medicare enrollment records

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
152W00000X Yes

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

IdentifierTypeStateIssuer
09324OtherNCBLUE CROSS/BLUE SHIELD
8909324MedicaidNC

Other providers in Princeton, NC

All providers in Princeton, NC · Optometrist in North Carolina

Sources for this page

Verify at the official NPI Registry.