Individual provider Active NPI

Murray Glusman, OD

  • Optometrist
  • Mobile, AL
National Provider Identifier
1295707990
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-414-TA-233 Issued in AL
Practice address
105W I65 Service N Rd
Mobile, AL 36608-1202
Phone
(251) 344-2020
Fax
(251) 341-5120
NPI assigned
Feb 6, 2006
Last updated
Oct 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 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 S-414-TA-233 AL Primary

Addresses

Primary practice location

105W I65 Service N Rd
Mobile, AL 36608-1202

Mailing address

15933 Clayton Rd
Suite 201
Ballwin, MO 63011-2172
Phone (636) 200-4393

Other identifiers 1

IdentifierTypeStateIssuer
000099591MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20070904000235 AL Practitioner - Optometry 7911090279 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Eyes Cataract and Laser Center IncGroup PAC ID 0547206765, 18 clinicians

Practice addresses (Care Compare)

411 N Section St
Fairhope, AL 36532-2649
Phone (251) 990-3937

Merit-based Incentive Payment System (MIPS)

Final score
88.55 of 100Reported as group
Quality
86
Promoting interoperability
100
Improvement activities
40
Cost
75.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-414-TA-233ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Eyes Cataract and Laser Center, Inc. Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince Aug 1, 2007 Accepting new patients
Eyecare Associates, Inc. Optometrist Current Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince May 23, 2017 Accepting new patients
University of South Alabama Health Services Foundation Past Accepting new patients
Eyecare Associates, Inc. Optometrist PastSince Aug 1, 2007 Accepting new patients

Locations

411 N Section St
Fairhope, AL 36532
Phone (251) 517-5027

1624 N McKenzie St
Foley, AL 36535
Phone (251) 943-3937

7880 Old Madison Pike
Madison, AL 35758
Phone (256) 772-8711

105 W I65 Service Rd N
Mobile, AL 36608
Phone (251) 344-2020

601 Providence Park Dr E
Mobile, AL 36695
Phone (251) 650-2020

15933 Clayton Rd
Ste 201
Ballwin, MO 63011

Interoperability endpoints

  • Direct secure messaging: mglusman@segal.intellechartdirect.net

Organizations & group practices 6

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1295707990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 CLAYTON RD",
            "address_2": "SUITE 201",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112172",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105W I65 SERVICE N RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081202",
            "telephone_number": "251-344-2020",
            "fax_number": "251-341-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUSMAN",
        "first_name": "MURRAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-414-TA-233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000099591",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.