Individual provider Active NPI

Jennifer Marie Glose, O.D.

  • Optometrist
  • Niagara Falls, NY
National Provider Identifier
1306158076
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007601 Issued in NY
Practice address
7600 3Rd Ave
Niagara Falls, NY 14304-1842
Phone
(716) 298-8182
Fax
(716) 298-0710
NPI assigned
Jul 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007601 NY Primary

Addresses

Primary practice location

7600 3Rd Ave
Niagara Falls, NY 14304-1842

Mailing address

8195 Sheridan Dr
Williamsville, NY 14221-6002
Phone (716) 631-3860

Other practice location 1

8195 Sheridan Dr
Williamsville, NY 14221-6002
Phone (716) 631-3860

Other practice location 2

445 Market St
Lockport, NY 14094-2528
Phone (716) 433-1844

Other names 1

  • Dr. Jennifer Marie Glose Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101011000041 NY Practitioner - Optometry 8628260569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Buffalo Eye Optometry PLLCGroup PAC ID 4082006416, 4 clinicians
Eye Mac Optometrists PCGroup PAC ID 4284802547, 4 clinicians

Practice addresses (Care Compare)

7600 3Rd Ave
Niagara Falls, NY 14304-1842
Phone (716) 298-8182

8195 Sheridan Dr
Williamsville, NY 14221-6002
Phone (716) 631-3860

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Eye Optometry PLLC Optometrist CurrentSince Aug 1, 2023 Accepting new patients
Eye Mac Optometrists PC CurrentSince Dec 28, 2025 Accepting new patients

Locations

445 Market St
Lockport, NY 14094
Phone (716) 433-1844

7600 3rd Ave
Niagara Falls, NY 14304
Phone (716) 298-8182

8195 Sheridan Dr
Williamsville, NY 14221
Phone (716) 480-5425

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1306158076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8195 SHERIDAN DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216002",
            "telephone_number": "716-631-3860",
            "fax_number": "716-276-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 3RD AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143041842",
            "telephone_number": "716-298-8182",
            "fax_number": "716-298-0710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8195 Sheridan Dr",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142216002",
            "country_code": "US",
            "telephone_number": "716-631-3860",
            "fax_number": "716-276-3467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 Market St",
            "address_purpose": "LOCATION",
            "city": "Lockport",
            "state": "NY",
            "postal_code": "140942528",
            "country_code": "US",
            "telephone_number": "716-433-1844",
            "fax_number": "716-727-3101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOSE",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GLOSE",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.