Glaucoma Associates & Consultation LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD22167 Issued in OR

Legal business name

GLAUCOMA ASSOCIATES & CONSULTATION LLC

Practice address

1040 NW 22ND Ave
Suite 200
Portland, OR 97210

Phone

(503) 413-8202

Fax

(503) 413-6937

NPI assigned

Jul 22, 2006

Last updated

Mar 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steven L Mansberger, MD MPHNPI 1356548861

Title

Opthalmologist

Phone

(503) 413-6453

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven L Mansberger, MD, MPH

  • Glaucoma Specialist (Ophthalmology) Physician
  • Portland, OR
  • NPI 1356548861
  Authorized official Same address or phone
• Robert Kinast, MD

  • Ophthalmology Physician
  • Portland, OR
  • NPI 1295885960
  NPD

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1578584702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 NW 22ND AVE",
            "address_2": "SUITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97210",
            "telephone_number": "503-413-8202",
            "fax_number": "503-413-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 NW 22ND AVE",
            "address_2": "SUITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97210",
            "telephone_number": "503-413-8202",
            "fax_number": "503-413-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAUCOMA ASSOCIATES & CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "MANSBERGER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTHALMOLOGIST",
        "authorized_official_telephone_number": "503-413-6453",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD MPH"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD22167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213408",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra L Glasser, M.D.
• Julie Glasser
• Keith Glasser, MSPT
• Sarah T Glasser, RD
• David Charles Glassman
• Bradford Joseph Glavan, MD
• Zrinka Glavas, MS
• Ineke J Glavor, PA-C
• Brittany Tanner Glaze
• Hannah Glazunov, DMD

• Ophthalmology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Ophthalmology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.