National Provider Identifier
Jennifer Marie Glose, O.D.
Jennifer Marie Glose, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Niagara Falls, NY and a listed phone number of (716) 298-8182.
Profile Overview
- NPI
- 1306158076
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- July 09, 2010
- Last Updated
- November 02, 2023
Practice Location
- 7600 3Rd Ave
- Niagara Falls, NY 14304-1842
Phone: (716) 298-8182
Mailing Address
- 8195 Sheridan Dr
- Williamsville, NY 14221-6002
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1306158076
- Entity Type
- Individual
- Last Name
- Glose
- First Name
- Jennifer
- Middle Name
- Marie
- Name Prefix
- Dr.
- Credential
- O.D.
- Provider Other Last Name
- Glose
- Provider Other First Name
- Jennifer
- Provider Other Middle Name
- Marie
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- O.D.
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 8195 Sheridan Dr
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-6002
- Mailing Country
- US
- Mailing Phone
- (716) 631-3860
- Mailing Fax
- (716) 276-3467
- Practice Street Address
- 7600 3Rd Ave
- Practice City
- Niagara Falls
- Practice State
- NY
- Practice ZIP Code
- 14304-1842
- Practice Country
- US
- Practice Phone
- (716) 298-8182
- Practice Fax
- (716) 298-0710
- Enumeration Date
- July 09, 2010
- Last Updated
- November 02, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 02, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)