Organization Active NPI

Glanville & Hussing, O.D. , Inc

  • Optometrist
  • Cuyahoga Falls, OH
National Provider Identifier
1861552473
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2875 Issued in OH
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

Updated by the provider on Jan 21, 2014

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0361504MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050925000067 OH Part B Supplier - Clinic/Group Practice 0749214138 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Cuyahoga Falls, OH; Kent, OH

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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.