Gary Ray Glenn, OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

CA9248T Issued in CA

Practice address

925 Blossom Hill Rd Ste 1139
San Jose, CA 95123-1243

Phone

(408) 281-3381

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467594572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 BLOSSOM HILL RD STE 1139",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231243",
            "telephone_number": "408-281-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 BLOSSOM HILL RD STE 1139",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231243",
            "telephone_number": "408-281-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "GARY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "CA9248T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Laurin Glass
• Gabrielle Glavinos
• Glden Oasis Health
• Jacquelyn R. Gleaton, S.L.P.
• Glenfield and Associates Physical Therapy
• Margaret Glenn
• Martina Glenn, LMFT, LPCC
• Vanessa Gliever
• Raven Glimidakis
• Glimmers of Growth Inc.

• Corneal and Contact Management Optometrist in San Jose, CA
• Providers in San Jose, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.