Individual
JEROME I GLAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
67 WELLS RD, WETHERSFIELD, CT 06109-3043
(860) 529-5429
(860) 563-5202
Mailing address
67 WELLS RD, WETHERSFIELD, CT 06109-3043
(860) 529-5429
(860) 563-5202
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
722
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004023875
—
CT
01
—
00402387501
BLUECAREFAMILY MEDICAIDE
CT
01
—
060873845
CT TAX ID
CT
01
—
090000722CT01
ANTHEM BLUE CROSS
CT
01
—
112728
EYE MED
CT
01
—
13122
SPECTERA ID
CT
01
—
138028
WELLCARE OF CT MEDICARE
CT
01
—
17098
AVESIS
CT
01
—
773845
CONNECTICARE ID
CT
01
—
912918
BLOCK/MEDICAIDE
CT
01
—
C3E541
EMPIRE BLUE CROSS
CT
01
—
OV0193
HEALTH NET
CT
01
—
P386567
OXFORD
CT
Enumeration date
07/19/2006
Last updated
08/17/2009
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