GLEN R. GAERTE (NPI# 1003855172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003855172 |
| Entity Type | Individual |
| Full Name | GLEN R. GAERTE |
| Credential | O.D. |
| Practice Address |
1300 E Cooley Dr Colton CA 92324-3905 |
| Mailing Address |
Po Box 2200 Redlands CA 92373-0722 |
| Practice Telephone | 9093704100 |
| Practice Fax Number | 9097964158 |
| Mailing Telephone | 9097933311 |
| Mailing Fax Number | 9097964158 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT5669 | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 5D0056691 | 05 |
| Street Address |
1300 E COOLEY DR |
| City | COLTON |
| State | CA |
| Zip Code | 92324-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861447195 | Fay A. Simpson | Nurse Practitioner | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2006-05-24 |
| 1972052132 | Brenda Jerez-aguilar | Nurse Practitioner | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2016-09-29 |
| 1497102701 | Hassan Quadri | Family Medicine | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2016-05-17 |
| 1942654793 | Suchal Karkera | Family Medicine | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2016-04-19 |
| 1174933279 | Kelvin Ma | Family Medicine | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2014-04-29 |
| 1497194468 | Linda Kit | Optometrist | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2013-06-22 |
| 1518212299 | Jennifer Lynn Jensen | Physician Assistant | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2012-07-18 |
| 1710249461 | Depatment of Behavioral Health | Special Hospital | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2012-06-08 |
| 1932341203 | Carlos Daniel Ramirez | General Practice | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2009-04-01 |
| 1831377662 | Beaver Medical Group Lp | Non-Pharmacy Dispensing Site | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2008-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801963194 | Thomas Bernard Law | Optometrist | 190 West H Street, Suite 105, Colton, CA 92324 | 2006-11-29 |
| 1497194468 | Linda Kit | Optometrist | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2013-06-22 |
| 1144574732 | Ly Phung Lam | Optometrist | 308 N La Cadena Dr, Colton, CA 92324-2946 | 2012-11-04 |
| 1063692242 | Firstsight Vision Services, Inc. | Optometrist | 1120 S Mount Vernon Ave, Colton, CA 92324-4220 | 2007-11-06 |
| 1306960539 | Douglas Weber | Optometrist | 1120 S Mount Vernon Ave, Colton, CA 92324-4220 | 2007-03-16 |
| 1396896791 | Lien Thi Kim Nguyen | Optometrist | 1120 S Mount Vernon Ave, Colton Walmart, Colton, CA 92324-4220 | 2007-01-15 |
| 1144265919 | Beaver Medical Group, Lp | Optometrist | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183428 | Ashley Park | Optometrist | 386 S Green Valley Rd Ste 2, Watsonville, CA 95076-3007 | 2020-10-30 |
| 1053911842 | Michael Guerret | Optometrist | 4130 N Viking Way # 110, Long Beach, CA 90808-1402 | 2020-10-29 |
| 1912506155 | Minati Desai Acharya, O.d., Optometric Corporation | Optometrist | 117 Pelton Center Way, San Leandro, CA 94577-4815 | 2020-10-20 |
| 1740888627 | Jennifer Ngo | Optometrist | 3217 W 153rd St, Gardena, CA 90249-4011 | 2020-10-13 |
| 1649878521 | Jennie Lin | Optometrist | 12914 Cranleigh St, Cerritos, CA 90703-7245 | 2020-10-13 |
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1114524196 | Kenneth E. Sweeney, O.d., Inc. | Optometrist | 825 Pollard Rd Ste 208, Los Gatos, CA 95032-1435 | 2020-10-03 |
| 1316544364 | Chelsey Kimiko Honma | Optometrist | 3151 Airway Ave Ste M3, Costa Mesa, CA 92626-4626 | 2020-10-02 |
| 1437766920 | Mary Mekhael | Optometrist | 5901 Center Dr Apt 456, Los Angeles, CA 90045-8969 | 2020-09-28 |
| 1013524677 | Jennifer Dang, O.d., A Professional Corporation | Optometrist | 301 S Western Ave Ste 103, Los Angeles, CA 90020-3816 | 2020-09-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.