Individual provider Active NPI

Glenn S Corbin, O.D.

Optometrist
Wyomissing, PA

National Provider Identifier

1508828666

Registry record updated Jan 26, 2011

On this page

Key facts
NPPES NPI Registry
Medicare participation
Care Compare profile
National Provider Directory
Organizations & group practices2
NPI Registry JSON
Other providers in Wyomissing, PA
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: OptometristTaxonomy code 152W00000X
License: OEG00004 Issued in PA
Practice address: 50 Berkshire CT
Wyomissing, PA 19610-1219
Phone: (610) 374-3134
Fax: (610) 374-0484
NPI assigned: Apr 4, 2006
Sex: Male
Sole proprietor: No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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
Optometrist	152W00000X	OEG00004	PA	Primary

Addresses

Primary practice location

50 Berkshire CT
Wyomissing, PA 19610-1219

Mailing address

50 Berkshire CT
Wyomissing, PA 19610-1219
Phone (610) 374-3134

Other identifiers 32

Identifier	Type	State	Issuer
01806401	Other	PA	CAPITAL BLUE CROSS ID
2144950	Other	PA	UNITED HEALTHCARE
232211591	Other	PA	BERKSHIRE HEALTH PARTNER
29435/29436	Other	PA	SPECTERA
54384002	Other	PA	DAVIS AFFINITY
OEG000040	Other	PA	HUMANA
0020591000	Other	PA	INDEPENDENCE PERSONAL CHOICE
01806401	Other	PA	KEYSTONE/SENIOR BLUE ID
2206957	Other	PA	SECURE HORIZON
OEG000040	Other	PA	LOOMIS
385702	Other	PA	HEALTHAMERICA/HEALTHASSURANCE
426448	Other	PA	HIGHMARK BLUE SHIELD ID
0020591000	Other	PA	AMERIHEALTH PROVIDER ID
01806401	Other	PA	CAPITAL BLUE CROSS/KHPC
NON PAR	Other	PA	NVA
OEG000040	Other	PA	CORESOURCE
1508828666	Other	PA	VSP/VISION SERVICE PLAN
20861	Other	PA	GEISINGER
410023367	Other	PA	MEDICARE RAILROAD
4589194	Other	PA	CIGNA
01806401	Other	PA	CAPITAL BLUE CROSS/SB/SB PPO/HMO
4356895	Other	PA	AETNA
NON PAR	Other	PA	DAVIS VISION
OEG000040	Other	PA	DEVON
PA05925	Other	PA	VBA/VISION BENEFITS OF AMERICA
0020591000	Other	PA	KEYSTONE EAST ID
0020591000	Other	PA	INDEPENDENCE BC/BS
01806401	Other	PA	CAPITAL BLUE CROSS/POS/PPO/TRADITIONAL
01806401	Other	PA	KEYSTONE/CBC
426448	Other	PA	HIGHMARK/CLASSIC/PPO/PPO BLUE/HMO
4356895	Other	PA	AETNA TRADITIONAL/PPO
4356895	Other	PA	AETNA/HMO

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment

Enrolled in PA

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

Enrollment ID	State	Provider type	PAC ID	Details
I20080813000322	PA	Practitioner - Optometry	2567356504	Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Specialty: Optometry
Education: Other, 1982
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Wyomissing Optometric Center, Inc.Group PAC ID 3274427208, 6 clinicians

Practice addresses (Care Compare)

50 Berkshire CT
Wyomissing, PA 19610-1219
Phone (610) 374-3134

Merit-based Incentive Payment System (MIPS)

Final score: 0 of 100Reported as individual
Quality: 0
Improvement activities: 0
Cost: 0

Procedures performed for Medicare patients

Procedure	Number of procedures
Cataract surgery	37

National Provider Directory

Medicare enrollment (NPD): Enrolled

State licenses

License	State	Type	Specialty
OEG00004	PA	MD	Optometrist

Practice roles

Organization	Specialty	Status	New patients
Wyomissing Optometric Center, Inc.	Optometrist	CurrentSince Apr 26, 1983	Accepting new patients
Wyomissing Optometric Center, Inc.	Optometrist	Current	Accepting new patients

Locations

50 Berkshire Ct
Wyomissing, PA 19610
Phone (610) 334-1325

Organizations & group practices 2

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.

Wyomissing Optometric Center, Inc.
- Optometrist
- Wyomissing, PA
- NPI 1366404345
Medicare reassignment Care Compare group NPD Authorized official
Wyomissing Optometric Center, Inc.
- Optometrist
- Douglassville, PA
- NPI 1437348539
NPD Authorized official

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1508828666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BERKSHIRE CT",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101219",
            "telephone_number": "610-374-3134",
            "fax_number": "610-374-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BERKSHIRE CT",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101219",
            "telephone_number": "610-374-3134",
            "fax_number": "610-374-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "GLENN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG00004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS ID",
            "identifier": "01806401",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2144950",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BERKSHIRE HEALTH PARTNER",
            "identifier": "232211591",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "29435/29436",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS AFFINITY",
            "identifier": "54384002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "OEG000040",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE PERSONAL CHOICE",
            "identifier": "0020591000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE/SENIOR BLUE ID",
            "identifier": "01806401",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HORIZON",
            "identifier": "2206957",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOOMIS",
            "identifier": "OEG000040",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA/HEALTHASSURANCE",
            "identifier": "385702",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD ID",
            "identifier": "426448",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PROVIDER ID",
            "identifier": "0020591000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS/KHPC",
            "identifier": "01806401",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "NON PAR",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORESOURCE",
            "identifier": "OEG000040",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP/VISION SERVICE PLAN",
            "identifier": "1508828666",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "20861",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "410023367",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4589194",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS/SB/SB PPO/HMO",
            "identifier": "01806401",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4356895",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "NON PAR",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVON",
            "identifier": "OEG000040",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VBA/VISION BENEFITS OF AMERICA",
            "identifier": "PA05925",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE EAST ID",
            "identifier": "0020591000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BC/BS",
            "identifier": "0020591000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS/POS/PPO/TRADITIONAL",
            "identifier": "01806401",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE/CBC",
            "identifier": "01806401",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK/CLASSIC/PPO/PPO BLUE/HMO",
            "identifier": "426448",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA TRADITIONAL/PPO",
            "identifier": "4356895",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/HMO",
            "identifier": "4356895",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.