Organization Active NPI

Glass Vision Associates, P.a.

  • Optometrist
  • Boca Raton, FL
National Provider Identifier
1730171430
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GLASS VISION ASSOCIATES, P.A.
Practice address
1001 SW 2ND Ave
#4000
Boca Raton, FL 33432-7245
Phone
(561) 391-2362
Fax
(561) 391-3012
NPI assigned
Aug 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Authorized official

Name
Dr. Marcia Glass, O.D.
Title
Owner
Phone
(561) 391-2362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1001 SW 2ND Ave
#4000
Boca Raton, FL 33432-7245

Mailing address

1001 SW 2ND Ave
#4000
Boca Raton, FL 33432-7245
Phone (561) 391-2362

Other identifiers 1

IdentifierTypeStateIssuer
0804910001OtherFLCIGNA GOVERNMENT SERVICES

National Provider Directory

National Provider Directory

Locations

1001 SW 2nd Ave
Ste 4000
Boca Raton, FL 33432
Phone (561) 391-2362

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1730171430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SW 2ND AVE",
            "address_2": "#4000",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334327245",
            "telephone_number": "561-391-2362",
            "fax_number": "561-391-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SW 2ND AVE",
            "address_2": "#4000",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334327245",
            "telephone_number": "561-391-2362",
            "fax_number": "561-391-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASS VISION ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-391-2362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT SERVICES",
            "identifier": "0804910001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.