Organization Active NPI

Dr. Martin Glassman, Optometrist Inc.

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1982728820
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3737-T786 Issued in OH
Legal business name
DR. MARTIN GLASSMAN, OPTOMETRIST INC.
Practice address
11503 Springfield Pike
Suite 230
Cincinnati, OH 45246-3508
Phone
(513) 771-8120
NPI assigned
Mar 18, 2007
Last updated
Aug 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Dr. Steven Glassamnn, O.D.
Title
President
Phone
(513) 771-8120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3737-T786 OH Primary

Addresses

Primary practice location

11503 Springfield Pike
Suite 230
Cincinnati, OH 45246-3508

Mailing address

11503 Springfield Pike
Suite 230
Cincinnati, OH 45246-3508
Phone (513) 771-8120

Other identifiers 12

IdentifierTypeStateIssuer
000000010507OtherOHANTHEM
3256OtherOHDAVIS VISION
GL0628921OtherOHAETNA
GL0628921OtherOHHEALTHSPAN
0064068MedicaidOH
2201206OtherOHUNITED HEALTH CARE
280642088001OtherOHMEDICAL MUTUAL
280642088002OtherOHMEDICAL MUTUAL
141515OtherOHEYEMED
5137718120OtherOHVISION SERVICE PLAN
GL0628921OtherOHHUMANA
GL0628921OtherOHCIGNA

National Provider Directory

National Provider Directory

Locations

11503 Springfield Pike
Ste 230
Cincinnati, OH 45246
Phone (513) 771-8120

12107 Sheraton Ln
Cincinnati, OH 45246
Phone (513) 771-8120

9309 Cincinnati Columbus Rd
West Chester, OH 45069
Phone (513) 777-6138

NPI Registry JSON

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1982728820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11503 SPRINGFIELD PIKE",
            "address_2": "SUITE 230",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463508",
            "telephone_number": "513-771-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11503 SPRINGFIELD PIKE",
            "address_2": "SUITE 230",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463508",
            "telephone_number": "513-771-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARTIN GLASSMAN, OPTOMETRIST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-18",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "GLASSAMNN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-771-8120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3737-T786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000010507",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "3256",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "GL0628921",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPAN",
            "identifier": "GL0628921",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0064068",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2201206",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "280642088001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "280642088002",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "141515",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "5137718120",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "GL0628921",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "GL0628921",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.