Active NPI
Paul W Glass, O.D.
- Optometrist
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC3890
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St . Lukes at the Villages, PA | Optometrist | Current | Accepting new patients |
| St Lukes Cataract & Laser Institute | Optometrist | Current | 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
- paul.glassod.p1@direct.stlukeseye.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Ophthalmology Physician
- Tarpon Springs, FL
- NPI 1154316628
Optometrist
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.