Individual provider Active NPI

Cheri J Glaus, OD

  • Optometrist
  • Mobile, AL
National Provider Identifier
1487677423
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
R210-TA944 Issued in AL
Practice address
600 Bel Air Blvd
Suite 110
Mobile, AL 36606-3501
Phone
(251) 476-4744
Fax
(251) 476-4741
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 21389-875 WI
Optometrist 152W00000X TPOP83 FL
Optometrist 152W00000X R210-TA944 AL Primary

Addresses

Primary practice location

600 Bel Air Blvd
Suite 110
Mobile, AL 36606-3501

Mailing address

16346 County Road 13
Fairhope, AL 36532-5307
Phone (330) 687-6906

Other identifiers 1

IdentifierTypeStateIssuer
0498715MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130529000217 AL Practitioner - Optometry 0042297178 Reassigns benefits to 1 organization
I20220705003202 FL Practitioner - Optometry 0042297178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Services for Vision Rehabilitation, Inc.Group PAC ID 8527162395, 2 clinicians

Practice addresses (Care Compare)

1703 N Bunner St
Foley, AL 36535-2229
Phone (251) 476-4744

29633 Anchor Cross Blvd
Daphne, AL 36526-9594
Phone (251) 476-4744

3054 McGehee Rd
C
Montgomery, AL 36111-2203
Phone (251) 476-4744

600 Bel Air Blvd
Mobile, AL 36606-3501
Phone (251) 476-4744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R210-TA944ALMDOptometrist
TPOP83FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr. Optometry of Florida, LLC Optometrist CurrentSince Jul 6, 2022 Accepting new patients
Community Services for Vision Rehabilitation, Inc. CurrentSince Aug 18, 2014 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Jul 6, 2022 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Bay Eyes Cataract and Laser Center, Inc. Optometrist Past Accepting new patients

Locations

29653 Anchor Cross Blvd
Daphne, AL 36526
Phone (251) 626-1755

1703 N Bunner St
Foley, AL 36535
Phone (251) 943-1680

600 Bel Air Blvd
Ste 110
Mobile, AL 36606
Phone (251) 476-4744

3054 McGehee Rd
#C
Montgomery, AL 36111
Phone (251) 476-4744

2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1487677423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16346 COUNTY ROAD 13",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365325307",
            "telephone_number": "330-687-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BEL AIR BLVD",
            "address_2": "SUITE 110",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063501",
            "telephone_number": "251-476-4744",
            "fax_number": "251-476-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAUS",
        "first_name": "CHERI",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-04-14",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "21389-875",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "TPOP83",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R210-TA944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0498715",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.