DR. GLEN E LOESER (NPI# 1295774479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295774479 |
| Entity Type | Individual |
| Full Name | DR. GLEN E LOESER |
| Credential | O.D. |
| Practice Address |
319 2nd Street Pike Southampton PA 18966-3812 |
| Practice Telephone | 2153554428 |
| Practice Fax Number | 2153550790 |
| Mailing Telephone | 2153554428 |
| Mailing Fax Number | 2153550790 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2012-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG001616 | PA | Eye and Vision Services Providers |
| Street Address |
319 2ND STREET PIKE |
| City | SOUTHAMPTON |
| State | PA |
| Zip Code | 18966-3812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386964989 | Jocelyn Theresa Kuryan | Ophthalmology | 319 2nd Street Pike, Southampton, PA 18966-3811 | 2010-06-04 |
| 1801110366 | Jessica Prince Wolfish | Ophthalmology | 319 2nd Street Pike, Southampton, PA 18966-3811 | 2010-03-26 |
| 1952515850 | Emily Angel Decarlo | Ophthalmology | 319 2nd Street Pike, Southampton, PA 18966-3811 | 2007-05-09 |
| 1043307309 | Tri County Eye Physicians | Durable Medical Equipment & Medical Supplies | 319 2nd Street Pike, Suite B, Southampton, PA 18966-3812 | 2006-10-06 |
| 1649375452 | Tri County Surgery Center LLC | Clinic/Center | 319 2nd Street Pike, Southampton, PA 18966-3812 | 2006-09-14 |
| 1861509655 | Tri County Eye Physicians & Surgeons PC | Ophthalmology | 319 2nd Street Pike, Southampton, PA 18966-3812 | 2006-08-25 |
| 1568475382 | Joel M Wolinsky | Optometrist | 319 2nd Street Pike, Southampton, PA 18966-3812 | 2006-08-14 |
| 1780693119 | Richard L Tax | Ophthalmology | 319 2nd Street Pike, Southampton, PA 18966-3812 | 2006-08-05 |
| 1164431599 | Richard B Prince | Ophthalmology | 319 2nd Street Pike, Southampton, PA 18966-3812 | 2006-08-05 |
| 1417966862 | Jeffrey A Gordon | Ophthalmology | 319 2nd Street Pike, Southampton, PA 18966-3812 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033758636 | Nancy Rubin | Speech-Language Pathologist | Nancy Rubin, 32 Brook Drive, Southampton, PA 18966 | 2019-12-30 |
| 1265970669 | Dominic Bogucki | Specialist/Technologist | 75 Meadowfield Dr, Southampton, PA 18966 | 2017-02-06 |
| 1518404359 | Amanda Phillips | Social Worker | 504 Lakeside Office Park, Suite 504, Southampton, PA 18966 | 2017-01-31 |
| 1386988830 | Sara Beth Bergman | Occupational Therapy Assistant | 1354 Hi View Drive, Southampton, PA 18966 | 2012-11-22 |
| 1326325523 | Annie Varughese | Pharmacist | 139 Lark Dr, Holland, PA 18966 | 2011-11-16 |
| 1912284993 | Christine Renee Nichols | Social Worker | 1030 Second Street Pike, Southampton, PA 18966 | 2011-11-04 |
| 1407134125 | Apex Smiles LLC | Dentist | 771 2nd Street Pike, Southampton, PA 18966 | 2011-07-29 |
| 1790092708 | The Comprehensive Learning Center, Inc. | Community/Behavioral Health | 150 James Way, Southampton, PA 18966 | 2010-09-13 |
| 1861713786 | Austin Patrick Daly | Dentist | 404 Lakeside Park, Southampton, PA 18966 | 2010-06-15 |
| 1164660015 | Andrew J Sohl | Podiatrist | 86 Buck Rd Ste 2, Southampton, PA 18966 | 2009-01-30 |
| Find all providers in zip 18966 | ||||
| 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 |
|---|---|---|---|---|
| 1649883265 | Iana Volodarsky | Optometrist | 950 Industrial Blvd Ste 3, Southampton, PA 18966-4070 | 2020-08-24 |
| 1447761200 | Myeyedr Optometry of Pennsylvania, LLC | Optometrist | 482 2nd Street Pike, Southampton, PA 18966-3803 | 2017-10-19 |
| 1689184384 | Vantage Eyecare, LLC | Optometrist | 319 2nd Street Pike Ste B, Southampton, PA 18966-3811 | 2017-10-07 |
| 1013463140 | Kelly Bado, O.d. | Optometrist | 15 College Hwy Ste B, Southampton, MA 01073-9274 | 2016-08-29 |
| 1366626160 | Tri County Optometric | Optometrist | 319 Second Street Pike, Southampton, PA 18966-3812 | 2007-12-28 |
| 1215098603 | Eugene Parker | Optometrist | 270 N Sea Rd, Southampton, NY 11968-2034 | 2006-12-12 |
| 1043391881 | Theodore J Calabrese | Optometrist | 414 County Road 39a, Southampton, NY 11968-5257 | 2006-10-18 |
| 1003854613 | Vivian Descant | Optometrist | 950 Industrial Blvd, Southampton, PA 18966-4005 | 2006-06-04 |
| 1255388575 | Louis J Manco | Optometrist | 671 Second Street Pike, Southampton, PA 18966-3940 | 2006-05-30 |
| 1992784334 | Nishan Boyajian | Optometrist | 758 Second Street Pike, Southampton, PA 18966-3949 | 2006-01-13 |
| Find all providers in SOUTHAMPTON | ||||
| City | SOUTHAMPTON |
| Zip Code | 18966 |
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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.