Provider Demographics
NPI:1235397555
Name:CHERI J. GLAUS, O.D., INC.
Entity Type:Organization
Organization Name:CHERI J. GLAUS, O.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERI
Authorized Official - Middle Name:J
Authorized Official - Last Name:GLAUS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:330-825-6004
Mailing Address - Street 1:3725 CLEVELAND MASSILLON RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:NORTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203-5614
Mailing Address - Country:US
Mailing Address - Phone:330-825-6004
Mailing Address - Fax:330-825-3601
Practice Address - Street 1:3725 CLEVELAND MASSILLON RD
Practice Address - Street 2:SUITE 6
Practice Address - City:NORTON
Practice Address - State:OH
Practice Address - Zip Code:44203-5614
Practice Address - Country:US
Practice Address - Phone:330-825-6004
Practice Address - Fax:330-825-3601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-23
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3581 / T462152W00000X
OH3581 /T462152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2861041Medicaid
OH2861041Medicaid