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Export Provider Record NPI 1104145853
Stephen R. Glaser M.d. P.c.
Organization Subpart: NO
Active
NPI Number1104145853
NPI TypeNPI-2 Organization
SpecialtyOphthalmology
Provider Details
NPI1104145853
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2010-05-20
Last Updated2010-05-20
Authorized OfficialStephen Glaser
President
Phone: 3013301366
Mailing Address15235 Shady Grove Rd Ste 101
Rockville, MD 20850-6273
United States
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Primary Practice Address15235 Shady Grove Rd Ste 101
Rockville, MD 20850-6273
United States
Phone: (301) 330-1366
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207W00000X – OphthalmologyMDD0051706
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About NPI 1104145853

Stephen R. Glaser M.d. P.c. is an organization registered in the CMS NPPES NPI Registry with NPI number 1104145853. The primary specialty listed is Ophthalmology. The organization is located in Rockville, MD. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2010-05-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104145853?

NPI 1104145853 belongs to Stephen R. Glaser M.d. P.c., a Ophthalmology in Rockville, MD. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104145853 active?

The current status of NPI 1104145853 in the NPPES registry is Active. The record was last updated on 2010-05-20.

What specialty is NPI 1104145853?

NPI 1104145853 is classified under the taxonomy Ophthalmology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104145853?

You can verify NPI 1104145853 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104145853?

The primary practice address on file for NPI 1104145853 is 15235 Shady Grove Rd Ste 101, Rockville, MD 20850-6273. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104145853 issued?

NPI 1104145853 was first issued (enumerated) on 2010-05-20. The NPPES record was last updated on 2010-05-20.

Practice Location Map

Stephen R. Glaser M.d. P.c. is located at 15235 Shady Grove Rd Ste 101, Rockville, MD. Use the map below to find directions or verify the practice location.

📍 15235 Shady Grove Rd Ste 101, Rockville, MD 20850-6273  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Stephen R. Glaser M.d. P.c.. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1104145853. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
OphthalmologyD0051706MD
Data Verified from CMS NPPES Last synced: 2026-06-25 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162