Individual provider Active NPI

Stephen Lawrence Glasser, OD

  • Optometrist
  • Washington, DC
National Provider Identifier
1710067954
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP421 Issued in DC
Practice address
900 17TH St NW
Suite 400
Washington, DC 20006
Phone
(202) 223-3530
Fax
(202) 223-9748
NPI assigned
Oct 16, 2006
Last updated
Dec 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP421 DC Primary
Corneal and Contact Management Optometrist 152WC0802X OP421 DC

Addresses

Primary practice location

900 17TH St NW
Suite 400
Washington, DC 20006

Mailing address

900 17TH St NW
Suite 400
Washington, DC 20006
Phone (202) 223-3530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20041023000103 DC Practitioner - Optometry 6002877966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 17TH St NW
Suite 400
Washington, DC 20006-2507
Phone (202) 223-3530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1710067954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 17TH ST NW",
            "address_2": "SUITE 400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20006",
            "telephone_number": "202-223-3530",
            "fax_number": "202-223-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 17TH ST NW",
            "address_2": "SUITE 400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20006",
            "telephone_number": "202-223-3530",
            "fax_number": "202-223-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSER",
        "first_name": "STEPHEN",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP421",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "DC",
            "license": "OP421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.