Active NPIIndividual providerSole proprietor

Jerome I Glazer, OD

Optometrist in Wethersfield, Connecticut

NPI Number1497774301
Practice location
67 Wells RD, Wethersfield, CT 06109-3043
Fax
860-563-5202
Last updated
August 17, 2009

Jerome I Glazer is an Optometrist based in Wethersfield, CT. Jerome I Glazer practices in Wethersfield, CT and has the professional credentials of OD. The NPI Number for Jerome I Glazer is 1497774301 and holds a License No. 722 (CT). The current practice location address for Jerome I Glazer is 67 Wells RD, Wethersfield, CT 06109-3043 and can be reached out via phone at 860-529-5429 and via fax at 860-563-5202.

Provider Profile Details

NPI Number
1497774301
Provider Name
Jerome I Glazer
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
67 Wells RD, Wethersfield, CT 06109-3043
Phone Number
860-529-5429
Fax Number
860-563-5202
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 19, 2006
Last Update Date
August 17, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
67 Wells RD
Wethersfield, CT 06109-3043
Zip
06109-3043
Phone Number
860-529-5429
Fax Number
860-563-5202
Wethersfield, CT 06109Get directions →

Provider Business Mailing Address Details

Address
67 Wells RD
Wethersfield, CT 06109-3043
City
Wethersfield
State
CT
Zip
06109-3043
Phone Number
860-529-5429
Fax Number
860-563-5202

License Information

License Number
722
License State
CT
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jerome I Glazer, OD?

The NPI number of Jerome I Glazer, OD is 1497774301. It was assigned on July 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Jerome I Glazer, OD?

Jerome I Glazer, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 722.

Where does Jerome I Glazer, OD practice?

The practice location is 67 Wells RD, Wethersfield, CT 06109-3043. The office can be reached at 860-529-5429 (phone) or 860-563-5202 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497774301 directly on the NPPES registry website.

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