Individual provider Active NPI

Glenn A, Klaus, O.D.

  • Optometrist
  • Wake Forest, NC
National Provider Identifier
1891730420
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1956 Issued in NC
Practice address
2114 S Main St
Wake Forest, NC 27587-8817
Phone
(919) 556-8595
Fax
(919) 556-6769
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1956 NC Primary

Addresses

Primary practice location

2114 S Main St
Wake Forest, NC 27587-8817

Mailing address

PO Box 1215
Wake Forest, NC 27588-1215
Phone (919) 556-8595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070807000690 NC Practitioner - Optometry 1658462577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6021 Poyner Village Pkwy
Suite 115
Raleigh, NC 27616-3398
Phone (919) 872-8665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1956NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Eye Care, OD, PA Optometrist CurrentSince Jul 6, 2010 Accepting new patients

Locations

6021 Poyner Village Pkwy
Ste 115
Raleigh, NC 27616
Phone (919) 556-8595

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891730420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1215",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275881215",
            "telephone_number": "919-556-8595",
            "fax_number": "919-556-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 S MAIN ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878817",
            "telephone_number": "919-556-8595",
            "fax_number": "919-556-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAUS",
        "first_name": "GLENN",
        "middle_name": "A,",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.