Glaucoma Services PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

208750 Issued in NY

Legal business name

GLAUCOMA SERVICES PC

Practice address

2 Kross Keys Dr
Suite 103
Albany, NY 12205-1466

Phone

(518) 438-2751

Fax

(518) 438-2753

NPI assigned

Aug 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul Stanley Fellenbaum, MDNPI 1871523662

Title

President

Phone

(518) 438-2751

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Stanley Fellenbaum, M.D.

  • Ophthalmology Physician
  • Albany, NY
  • NPI 1871523662
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1871787085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 KROSS KEYS DR",
            "address_2": "SUITE 103",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051466",
            "telephone_number": "518-438-2751",
            "fax_number": "518-438-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 KROSS KEYS DR",
            "address_2": "SUITE 103",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051466",
            "telephone_number": "518-438-2751",
            "fax_number": "518-438-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAUCOMA SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "FELLENBAUM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-438-2751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "208750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lewis A. Glaser, D.O.
• Lisa Ann Glasheen
• Patricia Glass
• Carly Glassbrenner
• Judith M Glasser
• Galina Glazman, M.D.
• Mary Kathryn Gleason, NP
• Jessica Glebus
• Jillian C. Glocka
• Karen I Gloeckler

• Specialist in Albany, NY
• Providers in Albany, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.