Douglas Glazer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OA03429N Issued in NJ

Practice address

255 Route 46 West
Totowa, NJ 07512

Phone

(973) 785-8000

Fax

(973) 785-9122

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

No

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497823124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 WEST AVE",
            "address_2": "SUITE 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131370",
            "telephone_number": "210-524-6509",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 ROUTE 46 WEST",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "07512",
            "telephone_number": "973-785-8000",
            "fax_number": "973-785-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZER",
        "first_name": "DOUGLAS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA03429N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roland Anthony Ghanem, M.D.
• Giliberti Eye and Laser Center P C
• Francesca Marie Giliberti, M.D.
• Orazio L Giliberti, MD
• Natalie Gillett, MS, RD
• Gregory Tamagnini DPM LLC
• Richard John Gryzmolowicz, D.D.S.
• Michael Anthony Guarino, RPH.
• Hackettstown Pediatrics Hospitalists, LLC
• Jalil Haddad, PA

• Optometrist in Totowa, NJ
• Providers in Totowa, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.