Paul J Glass, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

026278 Issued in GA

Practice address

2256 Northlake Pkwy
Suite 205
Tucker, GA 30084-4034

Phone

(770) 491-0105

Fax

(770) 934-6201

NPI assigned

Apr 20, 2006

Sex

Male

Sole proprietor

Yes

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 GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

JS Weill Medical College, Cornell University, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Paul J Glass

  • Eyewear Supplier
  • Tucker, GA
  • NPI 1639340557
  NPD (past) Authorized official

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1811952823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2256 NORTHLAKE PARKWAY",
            "address_2": "SUITE 205",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844004",
            "telephone_number": "770-491-0105",
            "fax_number": "770-934-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 NORTHLAKE PKWY",
            "address_2": "SUITE 205",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844034",
            "telephone_number": "770-491-0105",
            "fax_number": "770-934-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "PAUL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "026278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neena Desai Ghose, MD
• Pamela McGhee Gibbs, LPC
• Carla Jean Gignilliat, MA, CCC-SLP
• Gilmorehands, Inc
• Fredric Charles Glass, M.D.
• Global Visioncare Services Inc.
• Glory Pharmacy Inc
• Lacey Glover
• Claudia Maria Goicoechea, LMT
• Aurelia Leigh Goins

• Ophthalmology Physician in Tucker, GA
• Providers in Tucker, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.