Organization Active NPI

Glass Optical, L. L. C.

  • Optometrist
  • East Windsor, NJ
National Provider Identifier
1952607616
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00562200 Issued in NJ
Legal business name
GLASS OPTICAL, L. L. C.
Practice address
72 Princeton Hightstown Rd Ste 10
East Windsor, NJ 08520-1935
Phone
(609) 918-9808
Fax
(609) 918-9828
NPI assigned
Jan 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Dr. Steven Glassband, O. D.NPI 1366557274
Title
Managing Member
Phone
(609) 918-9808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 27OA00562200 NJ Primary

Addresses

Primary practice location

72 Princeton Hightstown Rd Ste 10
East Windsor, NJ 08520-1935

Mailing address

72 Princeton Hightstown Rd Ste 10
East Windsor, NJ 08520-1935
Phone (609) 918-9808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110204000786 NJ Part B Supplier - Clinic/Group Practice 9234344821 Receives reassigned benefits from 1 practitioner
Practice locations: East Windsor, NJ

National Provider Directory

National Provider Directory

Locations

72 Princeton Hightstown Rd
Ste 10
East Windsor, NJ 08520
Phone (609) 918-9808

72 Princeton Hightstown Rd
East Windsor, NJ 08520
Phone (609) 443-6103

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1952607616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 PRINCETON HIGHTSTOWN RD STE 10",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201935",
            "telephone_number": "609-918-9808",
            "fax_number": "609-918-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 PRINCETON HIGHTSTOWN RD STE 10",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201935",
            "telephone_number": "609-918-9808",
            "fax_number": "609-918-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASS OPTICAL, L. L. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "GLASSBAND",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "609-918-9808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00562200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.