Active NPI
Glenn Alan Neufeld, O.D.
- Optometrist
- Sparta, NJ
National Provider Identifier
1457431868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00495100
- Practice address
- 4 Main St
Sparta, NJ 07871-1900 - Phone
- (973) 726-9679
- Fax
- (973) 726-9606
- NPI assigned
- Oct 17, 2006
- 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 | 27OA00495100 | NJ | Primary |
Addresses
Primary practice location
4 Main St
Sparta, NJ 07871-1900
Mailing address
4 Main St
Sparta, NJ 07871-1900
Phone (973) 726-9679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00495100 | NJ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268092800000",
"number": "1457431868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 MAIN ST",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078711900",
"telephone_number": "973-726-9679",
"fax_number": "973-726-9606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 MAIN ST",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078711900",
"telephone_number": "973-726-9679",
"fax_number": "973-726-9606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUFELD",
"first_name": "GLENN",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2010-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00495100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparta, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.