Active NPI
Charles Adam Glass, M.D.
- Ophthalmology Physician
- Marlton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25MA09697000
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
100 Brick Rd
Suite 115
Marlton, NJ 08053-2146
Phone (856) 983-1400
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 304 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09697000 | NJ | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare , LLC | Current | Accepting new patients | |
| Advocare, LLC | Current | Accepting new patients | |
| Refocus Eye Health of NJ, P.C. | Current | Accepting new patients | |
| Refocus Eye Health of Central Connecticut, P.C. | Ophthalmology | Current | Accepting new patients |
| Refocus Eye Health of NJ, P.C. | Ophthalmology | Current | 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
- 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.
-
- Ophthalmology Physician
- Camden, NJ
- NPI 1093316549
-
- Pediatrics Physician
- Marlton, NJ
- NPI 1770538696
-
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1912762162
-
- Eyewear Supplier
- Oakland, NJ
- NPI 1912867052
-
- Ophthalmology Physician
- Waterbury, CT
- NPI 1548874936
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.