Glasgow Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GLASGOW EYECARE

Practice address

839 1St Ave S
Glasgow, MT 59230-2262

Phone

(406) 365-8231

Fax

(406) 365-7081

NPI assigned

Jun 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gary D Jacobsen, OD

Title

President

Phone

(406) 365-8231

Specialties & licenses 1

Addresses

Other names 1

• Glasgow EyeCare Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Troy Dean Myers, O.D.

  • Optometrist
  • Glendive, MT
  • NPI 1497914998

  MT

  Medicare reassignment

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1548420565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 1ST AVE S",
            "city": "GLASGOW",
            "state": "MT",
            "postal_code": "592302262",
            "telephone_number": "406-365-8231",
            "fax_number": "406-365-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 1ST AVE S",
            "city": "GLASGOW",
            "state": "MT",
            "postal_code": "592302262",
            "telephone_number": "406-365-8231",
            "fax_number": "406-365-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASGOW EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-365-8231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glasgow EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frances Mahon Deaconess Hospital
• Jack Michael Gasky, PHARMD
• Kyle Jeffrey Gibson, APRN
• Glasgow Clinic, Inc.
• Glasgow Dental Clinic, LLC
• Glasgow Pediatric Dentistry
• Glasgow Vision Center
• James Frederick Harris, MD
• Christina Hartshorn, FNP
• Chelsea Headley, PA-C

• All providers in Glasgow, MT
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.