Organization Active NPI

George N Glosik Robert J Glosik

  • Optometrist
  • Seven Hills, OH
National Provider Identifier
1356349930
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GEORGE N GLOSIK ROBERT J GLOSIK
Practice address
7305 Broadview Rd.
Seven Hills, OH 44131-4442
Phone
(216) 642-7373
Fax
(216) 642-7383
NPI assigned
Jul 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Dr. Robert J. Glosik, O.D.
Title
Managing Partner
Phone
(216) 475-7373

Specialties & licenses 1

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

Addresses

Primary practice location

7305 Broadview Rd.
Seven Hills, OH 44131-4442

Mailing address

7305 Broadview Rd.
Seven Hills, OH 44131-4442
Phone (216) 642-7373

Other identifiers 1

IdentifierTypeStateIssuer
0726932MedicaidOH

Other names 1

  • Drs Glosik Glosik Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930007390 OH DME Supplier - Physician - OptometristDME Supplier - Optician 7618008178 Practice locations: Seven Hills, OH

National Provider Directory

National Provider Directory

Locations

7305 Broadview Rd
Seven Hills, OH 44131
Phone (216) 475-7373

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": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1356349930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 BROADVIEW RD.",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441314442",
            "telephone_number": "216-642-7373",
            "fax_number": "216-642-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 BROADVIEW RD.",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441314442",
            "telephone_number": "216-642-7373",
            "fax_number": "216-642-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE N GLOSIK ROBERT J GLOSIK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "GLOSIK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "216-475-7373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0726932",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Glosik Glosik",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seven Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.