Individual provider Active NPI

Donald R Glenz, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1689769218
Registry record updated Jan 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02324TG Issued in TX
Practice address
6970 FM 1960 West
Suite a
Houston, TX 77069
Phone
(281) 469-2020
Fax
(281) 469-7531
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02324TG TX Primary

Addresses

Primary practice location

6970 FM 1960 West
Suite a
Houston, TX 77069

Mailing address

8554 Katy Fwy
Suite 120
Houston, TX 77024-1834
Phone (713) 461-0606

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080522000525 TX Practitioner - Optometry 8628147139 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02324TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Feb 25, 2019 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Feb 25, 2019 Accepting new patients
April Oliver, P.a. Optometrist PastSince Sep 29, 2015 Accepting new patients

Locations

6970 FM 1960 Rd W
Ste A
Houston, TX 77069
Phone (281) 469-2020

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326672000000",
    "number": "1689769218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8554 KATY FWY",
            "address_2": "SUITE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241834",
            "telephone_number": "713-461-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6970 FM 1960 WEST",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77069",
            "telephone_number": "281-469-2020",
            "fax_number": "281-469-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENZ",
        "first_name": "DONALD",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "02324TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.