# BERT M. GLASER NATIONAL RETINA INSTITUTE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The National Retina Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962456780
- **Authorized official:** DR. BERT M GLASER M.D. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (410) 337-4500

## Contact information

- **Practice address:** 901 DULANEY VALLEY RD, SUITE 200, TOWSON, MD 21204-2600
- **Practice address phone:** (410) 337-4500
- **Practice address fax:** (410) 339-7326
- **Mailing address:** 901 DULANEY VALLEY RD, SUITE 200, TOWSON, MD 21204-2600
- **Mailing address phone:** (410) 337-4500
- **Mailing address fax:** (410) 339-7326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WL0500X | Low Vision Rehabilitation Optometrist | — | NULL | — |
| 152WL0500X | Low Vision Rehabilitation Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 04/06/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1348035 | — | MD |