Individual provider Active NPI

Mark James Glanzer, OD

  • Optometrist
  • Mt Pleasant, TX
National Provider Identifier
1336121003
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5400TG Issued in TX
Practice address
2007 N Jefferson Ave
Mt Pleasant, TX 75455-2336
Phone
(903) 572-6655
Fax
(817) 467-5819
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5400TG TX Primary

Addresses

Primary practice location

2007 N Jefferson Ave
Mt Pleasant, TX 75455-2336

Mailing address

3900 E Mexico Ave Ste 102
Denver, CO 80210-3941
Phone (303) 800-2078

Other practice location 1

1825 E Southlake Blvd
Southlake, TX 76092-6501
Phone (817) 784-0222

Other practice location 2

3645 Dallas Pkwy Ste 545
Plano, TX 75093-8167
Phone (817) 784-0222

Other practice location 3

505 N Gun Barrel Ln
Gun Barrel City, TX 75156
Phone (817) 784-0222

Other practice location 4

5494 Glen Lakes Dr
Dallas, TX 75231
Phone (817) 784-0222

Other practice location 5

350 E Interstate 20
Arlington, TX 76018-1119
Phone (817) 784-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100122000330 TX Practitioner - OptometryPractitioner - Ophthalmology 2062554413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific Medical College, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arlington Ophthalmology Association PLLCGroup PAC ID 2668379876, 22 clinicians

Practice addresses (Care Compare)

5494 Glen Lakes Dr
Dallas, TX 75231-4308
Phone (214) 696-1579

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5400TXMDAddiction (Substance Use Disorder) Counselor
5400TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Ophthalmology Association PLLC Optometrist CurrentSince Nov 1, 2017 Accepting new patients
Eye Centers of North Texas, PLLC PastSince May 1, 2020 Accepting new patients
Staten Island Physician Practice PC Ophthalmology Past Accepting new patients

Locations

3900 E Mexico Ave
Ste 102
Denver, CO 80210
Phone (303) 800-2078

350 E Interstate 20
Arlington, TX 76018

5494 Glen Lakes Dr
Dallas, TX 75231
Phone (214) 692-6220

2301 S Hampton Rd
Ste 500
Dallas, TX 75224
Phone (214) 330-3937

505 N Gun Barrel Ln
Gun Barrel City, TX 75156
Phone (903) 887-7623

2007 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 572-6655

3645 Dallas Pkwy
Ste 545
Plano, TX 75093
Phone (214) 440-5200

1825 E Southlake Blvd
Southlake, TX 76092
Phone (214) 277-3404

Interoperability endpoints

  • Direct secure messaging: mark.glanzer.p1@direct.keec.nextgenshare.com

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1336121003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 E MEXICO AVE STE 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103941",
            "telephone_number": "303-800-2078",
            "fax_number": "817-467-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 N JEFFERSON AVE",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552336",
            "telephone_number": "903-572-6655",
            "fax_number": "817-467-5819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 E Southlake Blvd",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760926501",
            "country_code": "US",
            "telephone_number": "817-784-0222",
            "fax_number": "817-467-5819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3645 Dallas Pkwy Ste 545",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750938167",
            "country_code": "US",
            "telephone_number": "817-784-0222",
            "fax_number": "817-467-5819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 N Gun Barrel Ln",
            "address_purpose": "LOCATION",
            "city": "Gun Barrel City",
            "state": "TX",
            "postal_code": "75156",
            "country_code": "US",
            "telephone_number": "817-784-0222",
            "fax_number": "817-467-5819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5494 Glen Lakes Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75231",
            "country_code": "US",
            "telephone_number": "817-784-0222",
            "fax_number": "817-467-5819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 E Interstate 20",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760181119",
            "country_code": "US",
            "telephone_number": "817-784-0222",
            "fax_number": "817-467-5819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLANZER",
        "first_name": "MARK",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5400TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, TX

Sources for this page

Verify at the official NPI Registry.