GLEN E SMITH (NPI# 1346336146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346336146 |
| Entity Type | Individual |
| Full Name | GLEN E SMITH |
| Practice Address |
9525 Queens Blvd Rego Park NY 11374-4511 |
| Mailing Address |
385 N Fulton Ave Lindenhurst NY 11757-3857 |
| Practice Telephone | 7184597100 |
| Mailing Telephone | 7184597100 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
NY7701 | NY | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154338812 | Glen Allen Smith | Dentist | 4725 N Cloverdale Rd, Boise, ID 83713 | 2006-08-02 |
| 1851944565 | Glen Michael Smith | Community Health Worker | 2200 4th St, Baker City, OR 97814-2615 | 2019-07-22 |
| 1912096579 | Glen Scott Smith | Family Medicine | 2501 E Chapman Ave, Orange, CA 92869-3204 | 2006-10-12 |
| 1235147349 | Glen Allen Smith | Internal Medicine | 1901 S 1st St, Temple, TX 76504-7451 | 2006-08-04 |
| 1326031105 | Glen B Smith | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1505 Eastland Dr, Suite 210, Bloomington, IL 61701-7906 | 2005-08-26 |
| Street Address |
9525 QUEENS BLVD |
| City | REGO PARK |
| State | NY |
| Zip Code | 11374-4511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548222797 | Larissa Chaplia | Specialist | 9525 Queens Blvd, 520, Rego Park, NY 11374-4511 | 2006-04-04 |
| 1649767344 | New York Quality Healthcare Corporation | Health Maintenance Organization | 9525 Queens Blvd, Rego Park, NY 11374-4510 | 2018-04-18 |
| 1336516012 | John Lim | Pharmacist | 9525 Queens Blvd, Rego Park, NY 11374-4510 | 2015-08-28 |
| 1780094920 | Josephine Tsai | Internal Medicine | 9525 Queens Blvd, Rego Park, NY 11374-4510 | 2014-04-28 |
| 1679907109 | Sandra Angelella | Dietitian, Registered | 9525 Queens Blvd, Suite 07, Rego Park, NY 11374-4511 | 2013-09-03 |
| 1104169671 | City Rx Inc. | Pharmacy | 9525 Queens Blvd, Rego Park, NY 11374-4510 | 2013-04-02 |
| 1558612762 | Queens Boulevard Asc, LLC | Clinic/Center | 9525 Queens Blvd, 3rd Floor, Rego Park, NY 11374-4510 | 2012-09-27 |
| 1083973051 | Gurdeep Sareen | Pharmacist | 9525 Queens Blvd, Rego Park, NY 11374-4510 | 2012-05-11 |
| 1205111861 | New York State Catholic Health Plan, Inc. | Health Maintenance Organization | 9525 Queens Blvd, 8th Fl, Rego Park, NY 11374-4510 | 2011-10-14 |
| 1639451438 | Elizabeth Y Fung | Internal Medicine | 9525 Queens Blvd, 2nd Floor Suite A, Rego Park, NY 11374-4510 | 2011-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747579 | Washington Andres Sanchez | Occupational Therapist | 61 80 Woodhaven Blvd, Rego Park, NY 11374 | 2020-07-13 |
| 1285261636 | Joanna Rucinska | Home Health Aide | 6140 Wetherole Street, Rego Park, NY 11374 | 2020-03-25 |
| 1134605751 | Ella Yusupova | Specialist | 6620 Wetherole Street, Apt#2d, Rego Park, NY 11374 | 2018-07-17 |
| 1316435290 | Ilya Nektalov | Pharmacist | 9002 63rd Dr Apt 2h, Rego Park, NY 11374 | 2018-04-26 |
| 1467956623 | Celeste Lucas-powers | Social Worker | 97-37 Queens Blvd, Queens, NY 11374 | 2018-03-22 |
| 1306358114 | Mazal Katanov-nektalov | Occupational Therapist | 65-09 99th St, Apt.1t, Rego Park Queens,ny, NY 11374 | 2017-11-02 |
| 1497273866 | Alex Adrian Medina Abragan | Physical Therapist | 8616 63rd Drive, 2nd Floor, Rego Park, NY 11374 | 2017-09-06 |
| 1417472374 | Natella Yagoudaeva | Physician Assistant | 65-60 Wetherole St. Apt 4d, Rego Park, NY 11374 | 2017-08-11 |
| 1477083491 | Kei Petersen | Social Worker | Rego Park Counseling Center, 97-77 Queens Blvd., Ph Floor, Rego Park, NY 11374 | 2017-06-13 |
| 1558890988 | Irina Simidchieva | 6210 99th Street, Apt.6a, Rego Park, NY 11374 | 2017-06-08 | |
| Find all providers in zip 11374 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588289292 | Vision Express Optix Inc | Technician/Technologist | 98106 Queens Blvd, Rego Park, NY 11374-4354 | 2020-06-09 |
| 1033456140 | Brilliant Vision Corp. | Technician/Technologist | 97-21 Queens Blvd, Rego Park, NY 11374 | 2013-01-09 |
| 1336360767 | Omega Optical Inc | Technician/Technologist | 9102 63rd Dr, Rego Park, NY 11374-3850 | 2007-05-02 |
| 1932239191 | Jacob Davidov | Technician/Technologist | 9309 63rd Dr # A, Rego Park, NY 11374-2924 | 2007-03-06 |
| 1396826616 | Olga Shimanova | Technician/Technologist | 9102 63 Dr, Rego Park, NY 11374-3850 | 2006-10-17 |
| 1376642975 | Mak Optical of New York Inc | Technician/Technologist | 6135 Junction Blvd, Rego Park, NY 11374-2771 | 2006-09-21 |
| 1689912727 | Eleanora Mullokandova | Technician/Technologist | 97-21 Queens Blvd, Rego Park, NY 11374 | 2013-01-24 |
| 1730424201 | Berta Polvanova | Technician/Technologist | 9732 63rd Rd, Rego Park, NY 11374-1639 | 2012-12-10 |
| 1871761478 | Davidoff Optical Center Corp. | Technician/Technologist | 9309 63rd Dr, Rego Park, NY 11374-2924 | 2008-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202628 | Smart Vision Care Inc. | Technician/Technologist | 5107 108th St # B, Corona, NY 11368-3304 | 2020-10-14 |
| 1396350757 | Galo Andrade II | Technician/Technologist | 123 State Route 94 S Ste 2, Warwick, NY 10990-3664 | 2020-09-12 |
| 1962016022 | Mathilde Brecy | Technician/Technologist | 248 Columbus Ave, New York, NY 10023-3331 | 2020-09-04 |
| 1417566258 | Neziah Maloney | Technician/Technologist | 43 President St, Huntington Station, NY 11746-2345 | 2020-07-28 |
| 1689290199 | Akeel Adil | Technician/Technologist | 9142 82nd St, Jamaica, NY 11421-2914 | 2020-06-20 |
| 1942821749 | Frank Panzarella | Technician/Technologist | 364 Vermont St, Lindenhurst, NY 11757-5241 | 2020-05-03 |
| 1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
| 1023644291 | Martha Canon | Technician/Technologist | 1440 Broadway # 10826, New York, NY 10018-2301 | 2020-03-19 |
| 1619500964 | Raphael Optical Inc. | Technician/Technologist | 303 Wyckoff Ave, Brooklyn, NY 11237-5805 | 2020-02-14 |
| 1215577507 | Denise R Jones | Technician/Technologist | 6115 Metropolitan Ave # Store549, Ridgewood, NY 11385-2644 | 2020-01-14 |
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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.