Provider Demographics
NPI:1376611970
Name:GLASSER, ROBERT MILLARD (OD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:MILLARD
Last Name:GLASSER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:ROBERT
Other - Middle Name:M
Other - Last Name:GLASSER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:251 E BALTIMORE ST
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-6144
Mailing Address - Country:US
Mailing Address - Phone:301-739-7713
Mailing Address - Fax:
Practice Address - Street 1:251 E BALTIMORE ST
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-6144
Practice Address - Country:US
Practice Address - Phone:301-739-7713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDA0862152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDU02937Medicare ID - Type Unspecified
U02937Medicare UPIN