Individual provider Active NPI

Glenn Sterling Parnes, O.D.

  • Optometrist
  • San Luis Obispo, CA
National Provider Identifier
1902937667
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 8831 TPA Issued in CA
Practice address
695 Santa Rosa St
San Luis Obispo, CA 93401-2801
Phone
(805) 541-2777
Fax
(805) 541-2815
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 8831 TPA CA Primary

Addresses

Primary practice location

695 Santa Rosa St
San Luis Obispo, CA 93401-2801

Mailing address

695 Santa Rosa St
San Luis Obispo, CA 93401-2801
Phone (805) 541-2777

Other identifiers 6

IdentifierTypeStateIssuer
117494OtherEYEMED VISIONCARE
44371OtherDAVIS VISION
12250OtherCAMEDICAL EYE SERVICES
SL17404OtherSPECTERA VISION
FC46827OtherSAFEGUARD VISION
SD0088311MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101101000819 CA Practitioner - Optometry 2062606387 Practice locations: San Luis Obispo, CA
I20101105000550 CA Practitioner - Optometry 2062606387 Practice locations: Cayucos, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 8831 TPACAMDOptometrist
8831CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902937667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 SANTA ROSA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012801",
            "telephone_number": "805-541-2777",
            "fax_number": "805-541-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 SANTA ROSA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012801",
            "telephone_number": "805-541-2777",
            "fax_number": "805-541-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARNES",
        "first_name": "GLENN",
        "middle_name": "STERLING",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 8831 TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISIONCARE",
            "identifier": "117494",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "44371",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "12250",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA VISION",
            "identifier": "SL17404",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFEGUARD VISION",
            "identifier": "FC46827",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0088311",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.