Active NPI
Jay Glasser, O.D.
- Optometrist
- Ocoee, FL
National Provider Identifier
1861557696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC1794
- Practice address
- 9428 W Colonial Dr
Ocoee, FL 34761-6800 - Phone
- (407) 291-1921
- Fax
- (407) 297-8591
- NPI assigned
- Dec 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Vision Optometrist | 152WX0102X | OPC1794 | FL | |
| Optometrist | 152W00000X | OPC1794 | FL | Primary |
Addresses
Primary practice location
9428 W Colonial Dr
Ocoee, FL 34761-6800
Mailing address
566 Brookwood LN
Maitland, FL 32751-5113
Phone (407) 291-1921
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5607 Johns Rd
Tampa, FL 33634-4499
Phone (813) 385-1873
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Doctors Optical Outlets PA | Optometrist | Current | Accepting new patients |
| Eye Doctors Optical Outlets PA | Optometrist | Current | Accepting new patients |
| Eye Doctors Optical Outlets PA | Optometrist | Current | Accepting new patients |
Locations
9428 W Colonial Dr
Ocoee, FL 34761
Phone (407) 291-1921
5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873
Organizations & group practices 3
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.
-
- Optometrist
- Orlando, FL
- NPI 1164308771
-
- Optometrist
- Tampa, FL
- NPI 1114012689
-
- Optometrist
- St Petersburg, FL
- NPI 1184815086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562284800000",
"number": "1861557696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "566 BROOKWOOD LN",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327515113",
"telephone_number": "407-291-1921",
"fax_number": "407-297-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9428 W COLONIAL DR",
"city": "OCOEE",
"state": "FL",
"postal_code": "347616800",
"telephone_number": "407-291-1921",
"fax_number": "407-297-8591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASSER",
"first_name": "JAY",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2019-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "FL",
"license": "OPC1794",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC1794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.