Charlene Dubois Glynn, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4143 Issued in MA

Practice address

127 Eastern Ave
Gloucester, MA 01930-1802

Phone

(978) 526-1368

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jimmerson Eyecare

  • Optometrist
  • North Reading, MA
  • NPI 1154835114
  NPD

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871501510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 EASTERN AVE",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019301802",
            "telephone_number": "978-526-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 EASTERN AVE",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019301802",
            "telephone_number": "978-526-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLYNN",
        "first_name": "CHARLENE",
        "middle_name": "DUBOIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0330060",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Douglas Giles, LCSW
• Steven Anthony Gillespie, MD
• Melissa Judith Glassman, LMHC
• Thomas Glaster
• Gloucester Dental Health Center
• Rebecca Glynn
• Joel J Gonzales, DDS
• Whitney Susan Good
• Madison A Goodrow, LMHC
• Emily Anne Gorgone

• Optometrist in Gloucester, MA
• Providers in Gloucester, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.