Healthcare Provider Details

I. General information

NPI: 1679628721
Provider Name (Legal Business Name): MURRAY DAVID GLASNER O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 OLD PARK LANE RD
NEW MILFORD CT
06776-2507
US

IV. Provider business mailing address

6 CHELSEA CT
BROOKFIELD CT
06804-2704
US

V. Phone/Fax

Practice location:
  • Phone: 860-355-2655
  • Fax: 860-355-2656
Mailing address:
  • Phone: 203-775-8141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number601
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0601
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number601
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: