Glenn Carl Brewer, O.D.
Individual provider Active NPI Optometrist · Lexington, NC
NPI 1487935151 · NPPES record last updated Aug 24, 2018
Key facts
- NPI
- 1487935151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2232 (NC)
- Practice address
- 202 W Center St
Lexington, NC 27292 - Phone
- (336) 477-2295
- NPI assigned
- Sep 7, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clark Optometric Center PA
Practice addresses (Care Compare)
202 W Ctr St
Lexington, NC 27292-3012
Phone (336) 248-2237
2216 E NC Hwy 54
Durham, NC 27713-2208
Phone (919) 544-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 13 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150330000926 | NC | Practitioner - Optometry | 9133393234 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2232 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clark Optometric Center PA | Optometrist | Current |
Accepting new patients |
| Dr. Melanie S. Kiser PC | Optometrist | Current |
Accepting new patients |
| Moore Optometric Eye Center | Optometrist | Past | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients |
Locations
2216 E NC Highway 54
Durham, NC 27713
Phone (919) 544-2020
1960 US Highway 70 SE
Hickory, NC 28602
Phone (828) 323-8833
1960 US Highway 70 SE
Ste 199
Hickory, NC 28602
Phone (828) 323-8833
202 W Center St
Lexington, NC 27292
Phone (336) 248-2237
1829 Doctors Dr
Sanford, NC 27330
Phone (919) 776-2032
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00633600 | NJ | |
| Optometrist | 152W00000X | 2232 | NC | Yes |
Addresses
Primary practice location
202 W Center St
Lexington, NC 27292
Mailing address
202 W Center St
Lexington, NC 27292-3012
Phone (336) 398-3993
Other providers in Lexington, NC
- Selena Skye Bradley
- Mary Dianne Branch
- Brittainy Branham
- Cloresa T. Brawley
- Abigail Leigh Brewer
- Brian Center Drive Operating Company, LLC
- Bridge It
- Marianne Pring Broadway
- Kaitlyn Elyse Batt Brodar
- Steven John Brodar
All providers in Lexington, NC · Optometrist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.