Individual provider Active NPI

Robyn Glass, O.D.

  • Optometrist
  • Eustis, FL
National Provider Identifier
1790236636
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 5285 Issued in FL
Practice address
2303 S Bay St
Eustis, FL 32726-6360
Phone
(352) 357-1027
NPI assigned
Oct 15, 2016
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 5285 FL Primary

Addresses

Primary practice location

2303 S Bay St
Eustis, FL 32726-6360

Mailing address

2303 S Bay St
Eustis, FL 32726-6360
Phone (407) 840-7104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20161128001100 FL Practitioner - Optometry 1951680495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Eye Center, PAGroup PAC ID 2769699289, 3 clinicians

Practice addresses (Care Compare)

2303 S Bay St
Eustis, FL 32726-6360
Phone (357) 357-1027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 5285FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Eye Center, PA Optometrist CurrentSince Feb 24, 2024 Accepting new patients

Locations

2303 S Bay St
Eustis, FL 32726
Phone (352) 357-1027

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: drglass@centralfloridaeyecenter.eyefinity-direct.com

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": "1476489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1790236636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 S BAY ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266360",
            "telephone_number": "407-840-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 S BAY ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266360",
            "telephone_number": "352-357-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "ROBYN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-15",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 5285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

Verify at the official NPI Registry.