NPIMap

Organization Active NPI

Bert M. Glaser National Retina Institute, LLC

  • Ophthalmology Physician
  • Towson, MD
National Provider Identifier
1962456780
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
BERT M. GLASER NATIONAL RETINA INSTITUTE, LLC
Practice address
901 Dulaney Valley Rd
Suite 200
Towson, MD 21204-2600
Phone
(410) 337-4500
Fax
(410) 339-7326
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Authorized official

Name
Dr. Bert M Glaser, M.D.
Title
Executive Director
Phone
(410) 337-4500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WL0500X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

901 Dulaney Valley Rd
Suite 200
Towson, MD 21204-2600

Mailing address

901 Dulaney Valley Rd
Suite 200
Towson, MD 21204-2600
Phone (410) 337-4500

Other identifiers 1

IdentifierTypeStateIssuer
1348035MedicaidMD

Other names 1

  • The National Retina Institute Doing business as

National Provider Directory

National Provider Directory

Locations

3402 Olandwood Ct
Ste 101
Olney, MD 20832

200 Executive Center Pkwy
Ste 102
Fredericksburg, VA 22401
Phone (405) 779-0132

9378 Forestwood Ln
Ste D
Manassas, VA 20110
Phone (703) 288-9742

11150 Sunset Hills Rd
Ste 160
Reston, VA 20190
Phone (703) 435-8400

8065 Leesburg Pike
#12202
Vienna, VA 22182
Phone (703) 288-9001

Practitioners & affiliated clinicians

Practitioners 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1962456780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 DULANEY VALLEY RD",
            "address_2": "SUITE 200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042600",
            "telephone_number": "410-337-4500",
            "fax_number": "410-339-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 DULANEY VALLEY RD",
            "address_2": "SUITE 200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042600",
            "telephone_number": "410-337-4500",
            "fax_number": "410-339-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERT M. GLASER NATIONAL RETINA INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "GLASER",
        "authorized_official_first_name": "BERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-337-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1348035",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The National Retina Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.