Organization Active NPI

Gerald W. Glaser, O.D. and Associates, Inc.

  • Optometrist
  • Warwick, RI
National Provider Identifier
1982764288
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTA00466 Issued in RI
Legal business name
GERALD W. GLASER, O.D. AND ASSOCIATES, INC.
Practice address
400 Bald Hill Rd
Suite 163
Warwick, RI 02886-1617
Phone
(401) 738-9866
Fax
(401) 732-7810
NPI assigned
Dec 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gerald W. Glaser, O.D.NPI 1215154190
Title
Director
Phone
(401) 738-9866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X ODTA00466 RI Primary

Addresses

Primary practice location

400 Bald Hill Rd
Suite 163
Warwick, RI 02886-1617

Mailing address

400 Bald Hill Rd
Suite 163
Warwick, RI 02886-1617
Phone (401) 738-9866

Other identifiers 4

IdentifierTypeStateIssuer
2200385OtherRIUNITED HEALTHCARE
RI0466OtherRIEYEMED VISION CARE
402684OtherRIBLUE CHIP HEALTH PLAN
7834-4OtherRIBLUE CROSS & BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

400 Bald Hill Rd
Ste 163
Warwick, RI 02886
Phone (401) 738-9866

400 Bald Hill Rd
Ste 163
Warwick, RI 02886
Phone (401) 737-6633

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982764288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BALD HILL RD",
            "address_2": "SUITE 163",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861617",
            "telephone_number": "401-738-9866",
            "fax_number": "401-732-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BALD HILL RD",
            "address_2": "SUITE 163",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861617",
            "telephone_number": "401-738-9866",
            "fax_number": "401-732-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD W. GLASER, O.D. AND ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLASER",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-738-9866",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTA00466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2200385",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "RI0466",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP HEALTH PLAN",
            "identifier": "402684",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "7834-4",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.