Individual provider Active NPI

Bruce Howard Glatt, ABOC, NCLEC, FNAO

  • Optician
  • Eldersburg, MD
National Provider Identifier
1932472768
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
36730 Issued in MD
Practice address
739 Rustling Leaf CT
Eldersburg, MD 21784-8530
Phone
(410) 552-9799
Fax
(410) 552-9798
NPI assigned
Feb 9, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contact Lens Fitter 156FC0801X 075117 MD
Optician 156FX1800X 36730 MD Primary

Addresses

Primary practice location

739 Rustling Leaf CT
Eldersburg, MD 21784-8530

Mailing address

739 Rustling Leaf CT
Eldersburg, MD 21784-8530
Phone (410) 552-9799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
075117MDMDContact Lens Fitter
36730MDMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1932472768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 RUSTLING LEAF CT",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217848530",
            "telephone_number": "410-552-9799",
            "fax_number": "410-552-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 RUSTLING LEAF CT",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217848530",
            "telephone_number": "410-552-9799",
            "fax_number": "410-552-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLATT",
        "first_name": "BRUCE",
        "middle_name": "HOWARD",
        "name_prefix": "Mr.",
        "credential": "ABOC, NCLEC, FNAO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "MD",
            "license": "075117",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MD",
            "license": "36730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.