Organization Active NPI

Glanville Eye Care LLC

  • Optometrist
  • Madison, WI
National Provider Identifier
1578866240
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
WI 2923 Issued in WI
Legal business name
GLANVILLE EYE CARE LLC
Practice address
201 Junction Rd
Madison, WI 53717-2615
Phone
(608) 827-0088
Fax
(608) 836-3895
NPI assigned
Dec 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Authorized official

Name
Dr. Rachel Kern Glanville, OD
Title
Owner
Phone
(608) 827-0088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X WI 2923 WI Primary

Addresses

Primary practice location

201 Junction Rd
Madison, WI 53717-2615

Mailing address

201 Junction Rd
Madison, WI 53717-2615
Phone (608) 827-0088

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1578866240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 JUNCTION RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172615",
            "telephone_number": "608-827-0088",
            "fax_number": "608-836-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 JUNCTION RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172615",
            "telephone_number": "608-827-0088",
            "fax_number": "608-836-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLANVILLE EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "GLANVILLE",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "KERN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-827-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "WI 2923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.