Individual provider Active NPI

Nancy Glassman, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1982639852
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005740-1 Issued in NY
Practice address
5102 5TH Ave
Brooklyn, NY 11220-2715
Phone
(718) 492-7500
Fax
(718) 492-6720
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005740-1 NY Primary

Addresses

Primary practice location

5102 5TH Ave
Brooklyn, NY 11220-2715

Mailing address

5102 5TH Ave
Brooklyn, NY 11220-2715
Phone (718) 492-7500

Other identifiers 1

IdentifierTypeStateIssuer
01781855MedicaidNY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
005740NYMDRegistered Dietitian
TUV005740-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Leonard H. Glassman O.D., P.C. Optometrist PastSince May 17, 1961 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1982639852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202715",
            "telephone_number": "718-492-7500",
            "fax_number": "718-492-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202715",
            "telephone_number": "718-492-7500",
            "fax_number": "718-492-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSMAN",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005740-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01781855",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.