Active NPI
Glanville & Hussing, O.D. , Inc
- Optometrist
- Cuyahoga Falls, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2875
- Legal business name
- GLANVILLE & HUSSING, O.D. , INC
- Practice address
- 646 Portage TRL
Cuyahoga Falls, OH 44221-3000 - Phone
- (330) 929-9941
- Fax
- (330) 929-3926
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles M Glanville, O.D.
- Title
- President
- Phone
- (330) 929-9941
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2875 | OH | Primary |
Addresses
Primary practice location
646 Portage TRL
Cuyahoga Falls, OH 44221-3000
Mailing address
646 Portage TRL
Cuyahoga Falls, OH 44221-3000
Phone (330) 929-9941
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0361504 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Glanville Hussing OD Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Stow, OH
- NPI 1215350640
Locations
646 Portage Trl
Cuyahoga Fls, OH 44221
Phone (330) 928-3420
646 Portage Trl
Ste A
Cuyahoga Fls, OH 44221
Phone (330) 929-9941
307 W Main St
Ste A
Kent, OH 44240
Phone (330) 673-7538
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Cuyahoga Falls, OH
- NPI 1568740678
-
- Optometrist
- Cuyahoga Falls, OH
- NPI 1437234432
-
- Optometrist
- Kent, OH
- NPI 1386487361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390262400000",
"number": "1861552473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "646 PORTAGE TRL",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442213000",
"telephone_number": "330-929-9941",
"fax_number": "330-929-3926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "646 PORTAGE TRL",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442213000",
"telephone_number": "330-929-9941",
"fax_number": "330-929-3926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLANVILLE & HUSSING, O.D. , INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2014-01-21",
"status": "A",
"authorized_official_last_name": "GLANVILLE",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-929-9941",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OH",
"license": "2875",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0361504",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cuyahoga Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.