Provider Demographics
NPI:1952490625
Name:GLASSER, ANTHONY (OD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:GLASSER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 YORK RD
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4261
Mailing Address - Country:US
Mailing Address - Phone:410-561-5444
Mailing Address - Fax:410-561-0955
Practice Address - Street 1:1921 YORK RD
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-4261
Practice Address - Country:US
Practice Address - Phone:410-561-5444
Practice Address - Fax:410-561-0955
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA0951152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0997940002OtherMEDICARE-DMERC
MD1311401OtherUNITED HC
MDU28302Medicare UPIN
MD076QMedicare PIN
MD693LO547Medicare PIN
MD1311401OtherUNITED HC