Individual provider Active NPI

Paul W Glass, O.D.

  • Optometrist
  • Tampa, FL
National Provider Identifier
1437274750
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3890 Issued in FL
Practice address
13303 N Dale Mabry Hwy
Tampa, FL 33618-2409
Phone
(727) 938-2020
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3890 FL Primary

Addresses

Primary practice location

13303 N Dale Mabry Hwy
Tampa, FL 33618-2409

Mailing address

20124 Nob Oak Ave
Tampa, FL 33647-3359
Phone (813) 973-4000

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
I20041014000304 FL Practitioner - Optometry 3870553894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Cataract and Laser InstituteGroup PAC ID 7517853948, 54 clinicians

Practice addresses (Care Compare)

43309 US Hwy 19 N
Tarpon Springs, FL 34689-6221
Phone (727) 943-3111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St . Lukes at the Villages, PA Optometrist CurrentSince Mar 31, 2014 Accepting new patients
St Lukes Cataract & Laser Institute Optometrist CurrentSince Jan 4, 2013 Accepting new patients

Locations

501 S Fort Harrison Ave
Clearwater, FL 33756
Phone (727) 210-8811

25232 State Road 54
Lutz, FL 33559
Phone (727) 943-3111

187 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 684-6722

9400 9th St N
St Petersburg, FL 33702
Phone (727) 328-7700

13303 N Dale Mabry Hwy
Tampa, FL 33618
Phone (727) 938-2020

43309 US Highway 19 N
Tarpon Springs, FL 34689
Phone (727) 938-2020

1050 Old Camp Rd
Ste 230
The Villages, FL 32162
Phone (352) 350-8484

2955 Brownwood Blvd
Ste 303
The Villages, FL 32163
Phone (352) 350-8484

Interoperability endpoints

  • Direct secure messaging: paul.glassod.p1@direct.stlukeseye.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: paul.glassod.p3@direct.stlukeseye.nextgenshare.com

Organizations & group practices 2

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1437274750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20124 NOB OAK AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473359",
            "telephone_number": "813-973-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13303 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182409",
            "telephone_number": "727-938-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "PAUL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.