Glen A Linsley, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002568 Issued in MI

Practice address

109 E Maple St
Mason, MI 48854

Phone

(517) 676-4499

Fax

(517) 676-3221

NPI assigned

Oct 18, 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Glen a. Linsley Optometrist, PCGroup PAC ID 9931227659, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Glen a. Linsley Optometrist, PC

  • Optometrist
  • Mason, MI
  • NPI 1063735520
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1497836266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E MAPLE ST",
            "city": "MASON",
            "state": "MI",
            "postal_code": "48854",
            "telephone_number": "517-676-4499",
            "fax_number": "517-676-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E MAPLE ST",
            "city": "MASON",
            "state": "MI",
            "postal_code": "48854",
            "telephone_number": "517-676-4499",
            "fax_number": "517-676-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINSLEY",
        "first_name": "GLEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "945050168",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "0C36542",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon A Ledy, LLPC
• Kelly Clune Lennon, LMSW
• Karisa Lesniak, LLBSW
• Mariya Lighthill
• Chad Elston Linsley, O.D.
• Michael Duane Lonergan Jr.
• Michelle Andrine Loubert, D.O.
• Kelly Renee Loveless, LLMSW
• Lisa C Ludwig, M.D.
• Amanda Lee Lynn

• Optometrist in Mason, MI
• Providers in Mason, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.

Verify at the official NPI Registry.