Healthcare Provider Details

I. General information

NPI: 1174696991
Provider Name (Legal Business Name): GLASER VISION VENTURES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 01/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8040 SAINT CHARLES AVE
NEW ORLEANS LA
70118-2747
US

IV. Provider business mailing address

8040 SAINT CHARLES AVE
NEW ORLEANS LA
70118-2747
US

V. Phone/Fax

Practice location:
  • Phone: 504-866-6311
  • Fax: 504-866-7789
Mailing address:
  • Phone: 504-866-6311
  • Fax: 504-866-7789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHARLES G GLASER
Title or Position: OWNER/OPTOMETRIST
Credential: O.D.
Phone: 504-866-7352