| Miles Glasser, O.d., P.a. | |
|
1705 White Hall Dr 204 Davie FL 33324-6964 | |
| (954) 472-7012 | |
| Not Available |
| Full Name | Miles Glasser, O.d., P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1705 White Hall Dr, Davie, Florida |
| Authorized Official Name and Position | Miles Glasser (PRESIDENT) |
| Authorized Official Contact | 9544727012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miles Glasser, O.d., P.a. 1705 White Hall Dr 204 Davie FL 33324-6964 Ph: (954) 472-7012 | Miles Glasser, O.d., P.a. 1705 White Hall Dr 204 Davie FL 33324-6964 Ph: (954) 472-7012 |
| NPI Number | 1326342270 |
|---|---|
| Provider Enumeration Date | 01/07/2011 |
| Last Update Date | 01/07/2011 |
| Medicare PECOS PAC ID | 6002093572 |
|---|---|
| Medicare Enrollment ID | O20110609000374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326342270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OPC 1273 (Florida) | Primary |
| Provider Name | Miles Glasser |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396770855 PECOS PAC ID: 5092992560 Enrollment ID: I20110630000619 |
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