Paul J Glass

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

026278 Issued in GA

Legal business name

PAUL J GLASS

Practice address

2256 Northlake Parkway
Suite 205
Tucker, GA 30084-4004

Phone

(770) 491-0105

Fax

(770) 934-6201

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Paul Jason Glass, M.D.NPI 1811952823

Title

Direct Owner/Ophthalmologist

Phone

(770) 491-0105

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Paul J Glass, MD

  • Ophthalmology Physician
  • Tucker, GA
  • NPI 1811952823
  NPD (past) Authorized official

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1639340557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2256 NORTHLAKE PARKWAY",
            "address_2": "SUITE 205",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844004",
            "telephone_number": "770-491-0105",
            "fax_number": "770-934-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 NORTHLAKE PARKWAY",
            "address_2": "SUITE 205",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844004",
            "telephone_number": "770-491-0105",
            "fax_number": "770-934-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J GLASS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "DIRECT OWNER/OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "770-491-0105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "026278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Tucker, GA
• Providers in Tucker, GA by specialty
• Eyewear Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.