P Praxis·MD
● Active Type 2 · Organization

Paul J Glass

Eyewear Supplier·Tucker, GA· NPI 1639340557 · Enumerated 2008 · 18 years on NPI
Paul J Glass is 1 of 526 eyewear supplier organizations in Georgia.
NPI age
18 years
Enumerated 2008-03-19
Primary specialty
Eyewear Supplier
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Glass
Direct Owner
Last NPPES update
2008-03-19
Source: monthly bulk 2026-05

How this organization compares

Across 526 active eyewear supplier providers in Georgia.

NPI age
18 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-03Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
2163 Northlake Pkwy, Ste 102
Tucker, GA 300844102
📞 7704910105fax 7709346201
Mailing address
2163 Northlake Pkwy, Ste 102
Tucker, GA 300844102
📞 7704910105fax 7709346201

Authorized official

Paul J Glass
Direct Owner
📞 7704910105

Specialties

  • Eyewear Supplier Primary
    An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
    GA license #026278 taxonomy 332H00000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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