Glazer, Jerome I

Glazer, Jerome I is an sole proprietor health care provider with primary practice located at 67 Wells Rd , Wethersfield CT 06109-3043. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Glazer, Jerome I can be contacted via phone (860) 529-5429.

Contact Information

Primary practice address
67 Wells Rd Wethersfield CT 06109-3043
Phone: (860) 529-5429
Fax: (860) 563-5202
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 722 Connecticut

Profile Details

NPI number 1497774301
LBN Legal business name Glazer, Jerome I
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Aug 17th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497774301 NPPES
Connecticut Other 138028 WELLCARE OF CT MEDICARE
Connecticut Other 912918 WELLCARE OF CT MEDICARE
Connecticut Other P386567 WELLCARE OF CT MEDICARE
Connecticut Other 00402387501 WELLCARE OF CT MEDICARE
Connecticut Other 13122 WELLCARE OF CT MEDICARE
Connecticut Other 112728 WELLCARE OF CT MEDICARE
Connecticut Other OV0193 WELLCARE OF CT MEDICARE
Connecticut Other 773845 WELLCARE OF CT MEDICARE
Connecticut Other 090000722CT01 WELLCARE OF CT MEDICARE
Connecticut Other C3E541 WELLCARE OF CT MEDICARE
Connecticut MEDICAID 004023875 WELLCARE OF CT MEDICARE
Connecticut Other 060873845 WELLCARE OF CT MEDICARE
Connecticut Other 17098 WELLCARE OF CT MEDICARE

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