Individual provider Active NPI

Miles J Glasser, OD

  • Optometrist
  • Davie, FL
National Provider Identifier
1396770855
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1273 Issued in FL
Practice address
1705 White Hall Dr Apt 204
Davie, FL 33324-6912
Phone
(954) 472-7012
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC1273 FL Primary

Addresses

Primary practice location

1705 White Hall Dr Apt 204
Davie, FL 33324-6912

Mailing address

1705 White Hall Dr Apt 204
Davie, FL 33324-6912
Phone (954) 472-7012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110630000619 FL Practitioner - Optometry 5092992560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1705 White Hall Dr Apt
Suite 204
Davie, FL 33324-6912

1705 Whitehall Dr
Apt 204
Davie, FL 33324-6912

255 N University Dr
Pembroke Pines, FL 33024-6715
Phone (954) 987-2421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC1273FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Miles Glasser, O.D., P.a. CurrentSince Jul 3, 2010 Accepting new patients

Locations

1400 E Hillsboro Blvd
Deerfield Beach, FL 33441
Phone (954) 426-2314

255 N University Dr
Pembroke Pines, FL 33024
Phone (954) 494-7767

Organizations & group practices 1

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396770855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 WHITE HALL DR APT 204",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333246912",
            "telephone_number": "954-472-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 WHITE HALL DR APT 204",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333246912",
            "telephone_number": "954-472-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSER",
        "first_name": "MILES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.