Jerome Glazer Od

LBN: Jerome Glazer Od
Jerome Glazer Od is an health care organization with primary practice located at 67 Wells Rd , Wethersfield CT 06109-3043. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Jerome Glazer Od can be contacted via phone (860) 529-5429, or through Glazer, Jerome I 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
Authorized official contact:
Name: Glazer, Jerome I Doctor of Optometry (OD)
Phone: (860) 529-5429

Health care specialties

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

Profile Details

NPI number 1265618169
LBN Legal business name Jerome Glazer Od
DBA Doing business as
Authorized official Glazer, Jerome I Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2008
Last updated Aug 17th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265618169 NPPES
Connecticut Other 090000722CT01 ANTHEM BLUE CROSS OF CT
Connecticut Other 0V0193 ANTHEM BLUE CROSS OF CT
Connecticut Other 13122 ANTHEM BLUE CROSS OF CT
Connecticut Other P386567 ANTHEM BLUE CROSS OF CT
Connecticut MEDICAID 004023875 ANTHEM BLUE CROSS OF CT
Connecticut Other C3E541 ANTHEM BLUE CROSS OF CT
Connecticut Other 138028 ANTHEM BLUE CROSS OF CT
Connecticut Other 00402387501 ANTHEM BLUE CROSS OF CT
Connecticut Other 912918 ANTHEM BLUE CROSS OF CT
Connecticut Other 112728 ANTHEM BLUE CROSS OF CT
Connecticut Other 1497774301 ANTHEM BLUE CROSS OF CT
Connecticut Other 17098 ANTHEM BLUE CROSS OF CT
Connecticut Other 773845 ANTHEM BLUE CROSS OF CT

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