Individual provider Active NPI

Charles Adam Glass, M.D.

  • Ophthalmology Physician
  • Marlton, NJ
National Provider Identifier
1467748632
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA09697000 Issued in NJ
Practice address
100 Brick Rd
Suite 115
Marlton, NJ 08053-2146
Phone
(856) 983-1400
Fax
(856) 983-1681
NPI assigned
Jun 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA09697000 NJ Primary

Addresses

Primary practice location

100 Brick Rd
Suite 115
Marlton, NJ 08053-2146

Mailing address

100 Brick Rd
Suite 115
Marlton, NJ 08053-2146
Phone (856) 983-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151012000123 NJ Practitioner - Ophthalmology 0749407518 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refocus Eye Health of NJ PCGroup PAC ID 2365830668, 46 clinicians

Practice addresses (Care Compare)

100 Brick Rd
Suite 115
Marlton, NJ 08053-2146
Phone (856) 983-1400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09697000NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Aug 5, 2015 Accepting new patients
Advocare, LLC CurrentSince Aug 5, 2015 Accepting new patients
Refocus Eye Health of NJ, P.C. CurrentSince Jul 10, 2023 Accepting new patients
Refocus Eye Health of Central Connecticut, P.C. Ophthalmology Current Accepting new patients
Refocus Eye Health of NJ, P.C. Ophthalmology CurrentSince Jul 10, 2023 Accepting new patients

Locations

3 Cooper Plz
Rm 510
Camden, NJ 08103
Phone (215) 288-5000

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

1613 Route 38
Lumberton, NJ 08048
Phone (609) 261-3716

100 Brick Rd
Ste 115
Marlton, NJ 08053
Phone (856) 983-1400

Interoperability endpoints

  • Direct secure messaging: cglass@refocus.intellechartdirect.net

Organizations & group practices 5

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": "1308960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1467748632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BRICK RD",
            "address_2": "SUITE 115",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532146",
            "telephone_number": "856-983-1400",
            "fax_number": "856-983-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRICK RD",
            "address_2": "SUITE 115",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532146",
            "telephone_number": "856-983-1400",
            "fax_number": "856-983-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "CHARLES",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-25",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA09697000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.