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JEROME GLAZER OD NPI 1265618169


NPI Information

NPI: 1265618169
Provider Name: JEROME GLAZER OD
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
67 WELLS RD
WETHERSFIELD, CT
ZIP 06109
Phone: (860) 529-5429
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JEROME GLAZER OD is an optometrist in Wethersfield, CT. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. JEROME GLAZER OD NPI is 1265618169. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

67 WELLS RD
WETHERSFIELD, CT
ZIP 06109-043
Phone: (860) 529-5429
Fax: (860) 563-5202

The provider's authorized official is Jerome I Glazer .
The authorized official title is Owner and has the following contact phone number (860) 529-5429.

The enumeration date for this NPI number is 1/10/2008 and was last updated on 8/17/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist722CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
113122OTHERCONNECTICUTSPECTERA
2138028OTHERCONNECTICUTWELLCARE OF CT
3773845OTHERCONNECTICUTCONNECTICARE
4P386567OTHERCONNECTICUTOXFORD
5912918OTHERCONNECTICUTBLOCK MEDICAIDE
6004023875MEDICAIDCONNECTICUT
7090000722CT01OTHERCONNECTICUTANTHEM BLUE CROSS OF CT
8T23498MEDICARE UPINCONNECTICUT
900402387501OTHERCONNECTICUTBLUE CARE FAMILY PLAN
10C3E541OTHERCONNECTICUTEMPIRE BLUE CROSS
11=========OTHERCONNECTICUTAETNA
1217098OTHERCONNECTICUTAVESIS
13410000221MEDICARE PINCONNECTICUT
140V0193OTHERCONNECTICUTHEALTH NET
15112728OTHERCONNECTICUTEYEMED
161497774301OTHERCONNECTICUTNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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