Organization Active NPI

Gary S Glenn OD PC

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1306046420
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GARY S GLENN OD PC
Practice address
9302 N Meridian St
Ste 150
Indianapolis, IN 46260-1873
Phone
(317) 848-4444
NPI assigned
Jul 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Authorized official

Name
Dr. Gary S Glenn, OD
Title
Owner
Phone
(317) 848-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

9302 N Meridian St
Ste 150
Indianapolis, IN 46260-1873

Mailing address

9302 N Meridian St
Ste 150
Indianapolis, IN 46260-1873
Phone (317) 848-4444

Other names 1

  • INDY EYES Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1306046420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9302 N MERIDIAN ST",
            "address_2": "STE 150",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601873",
            "telephone_number": "317-848-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9302 N MERIDIAN ST",
            "address_2": "STE 150",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601873",
            "telephone_number": "317-848-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY S GLENN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-848-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INDY EYES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.