Active NPI
Glen E Loeser, O.D.
- Optometrist
- Southampton, PA
National Provider Identifier
1295774479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001616
- Practice address
- 319 2ND Street Pike
Southampton, PA 18966-3812 - Phone
- (215) 355-4428
- Fax
- (215) 355-0790
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
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 | OEG001616 | PA | Primary |
Addresses
Primary practice location
319 2ND Street Pike
Southampton, PA 18966-3812
Mailing address
319 2ND Street Pike
Southampton, PA 18966-3812
Phone (215) 355-4428
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Armstrong Colt Ophthalmology PC | Past | Accepting new patients | |
| Armstrong Colt Ophthalmology,P.C. | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Hatboro, PA
- NPI 1821104233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332806400000",
"number": "1295774479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 2ND STREET PIKE",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189663812",
"telephone_number": "215-355-4428",
"fax_number": "215-355-0790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 2ND STREET PIKE",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189663812",
"telephone_number": "215-355-4428",
"fax_number": "215-355-0790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOESER",
"first_name": "GLEN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2012-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southampton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.