Individual
GERALD W. GLASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
400 BALD HILL RD, SUITE 163, WARWICK, RI 02886-1617
(401) 738-9866
(401) 732-7810
Mailing address
400 BALD HILL RD, SUITE 163, WARWICK, RI 02886-1617
(401) 738-9866
(401) 732-7810
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTA00466
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2200385
UNITED HEALTHCARE
RI
01
—
402684
BLUE CHIP HEALTH PLAN
RI
01
—
7834-4
BLUE CROSS & BLUE SHIELD
RI
01
—
RI0466
EYEMED VISION CARE
RI
Enumeration date
04/20/2007
Last updated
07/08/2007
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