Jack C. Gladman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

03941TG Issued in TX

Practice address

3635 S Soncy
Amarillo, TX 79119

Phone

(806) 356-6868

Fax

(806) 351-0120

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rush Eye Associates PLLCGroup PAC ID 3870800758, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.16 of 100Reported as group

Quality

83.25

Promoting interoperability

92

Improvement activities

40

Cost

77.27

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jack.gladman.p1@direct.paneye.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Rush Eye Associates PLLC

  • Ophthalmology Physician
  • Amarillo, TX
  • NPI 1508650854
  Medicare reassignment Care Compare group NPD
• J Craig Gladman O.D. P.a.

  • Optometrist
  • Amarillo, TX
  • NPI 1225130263
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1649221565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 S SONCY",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79119",
            "telephone_number": "806-356-6868",
            "fax_number": "806-351-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 S SONCY",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79119",
            "telephone_number": "806-356-6868",
            "fax_number": "806-351-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADMAN",
        "first_name": "JACK",
        "middle_name": "C.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "03941TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81968Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Gilmore
• Jeremy Gipson, RNFA
• Milton A Giron, MD
• Christopher Alan Giuliano, PHARMD
• Giving Home Health Care LLC
• Rachel Glaze, AU.D, FAAA
• Daniel Gleason, H.I.S.
• Karen Gleisner, LCSW
• Susan Glenn
• Christopher Glock, M.D.

• Optometrist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.