Organization Active NPI

Roland M. Glassman

  • Optician
  • Bedford, NH
National Provider Identifier
1649456310
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
6670 Issued in NH
Legal business name
ROLAND M. GLASSMAN
Doing business as
Physicians Eye Center
Practice address
407 Riverway PL
Bedford Commons
Bedford, NH 03110-6765
Phone
(603) 668-1421
Fax
(603) 668-2786
NPI assigned
Jan 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Roland M Glassman, M.D.NPI 1609866466
Title
Owner
Phone
(603) 668-1841

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 6670 NH Primary

Addresses

Primary practice location

407 Riverway PL
Bedford Commons
Bedford, NH 03110-6765

Mailing address

407 Riverway PL
Bedford Commons
Bedford, NH 03110-6765
Phone (603) 668-1841

Other identifiers 3

IdentifierTypeStateIssuer
D03395OtherNHUPIN
0100481Y0NH01OtherNHBLUE CROSS
82180481MedicaidNH

Other names 1

  • Physicians Eye Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1200096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1649456310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 RIVERWAY PL",
            "address_2": "BEDFORD COMMONS",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106765",
            "telephone_number": "603-668-1841",
            "fax_number": "603-668-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 RIVERWAY PL",
            "address_2": "BEDFORD COMMONS",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106765",
            "telephone_number": "603-668-1421",
            "fax_number": "603-668-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLAND M. GLASSMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-12",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "GLASSMAN",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-668-1841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NH",
            "license": "6670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "D03395",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0100481Y0NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82180481",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.