Peter William Glennie, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1903ATI Issued in OR

Practice address

1594 Edgewater Street NW
Suite 190
Salem, OR 97304-4656

Phone

(503) 779-2119

Fax

(503) 779-1195

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Pacific University - College of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sterling Vision PCGroup PAC ID 3173773694, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.54 of 100Reported as group

Quality

98.4

Improvement activities

40

Cost

77.27

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sterling Vision, PC

  • Ophthalmology Physician
  • Eugene, OR
  • NPI 1902161946

  Optometrist

  Medicare reassignment Care Compare group NPD
• Oregon Retina, LLP

  • Ophthalmology Physician
  • Gold Beach, OR
  • NPI 1750703575
  NPD
• Oregon Retina, LLC

  • Ophthalmology Physician
  • Eugene, OR
  • NPI 1871829762
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1730134966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 WILLAMETTE STREET #17",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014049",
            "telephone_number": "541-762-2763",
            "fax_number": "541-434-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1594 EDGEWATER STREET NW",
            "address_2": "SUITE 190",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044656",
            "telephone_number": "503-779-2119",
            "fax_number": "503-779-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENNIE",
        "first_name": "PETER",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1903ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald A Glaus, PHD
• Kellie Glaze
• Rex R. Glazner, M.A.
• Teena Glee, CHW
• Glen Creek Dental LLC
• Mindy Erin Glivinski, PA
• Global Interpreters USA
• Olga T. Gloria
• Robin K Glotzbach, MD
• Alexis Glover, LMT

• Optometrist in Salem, OR
• Providers in Salem, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.