Organization · Type 2 NPI

Paul J Glass

Eyewear Supplier · Tucker, GA

NPI number 1639340557 Active

Practice location

2256 Northlake Parkway, Suite 205
Tucker, GA 30084-4004

Fax (770) 934-6201

Specialties and licenses

TaxonomyCodeLicense
Eyewear Supplier Primary 332H00000X026278 (GA)

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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About NPI 1639340557

Paul J Glass's National Provider Identifier is 1639340557, issued on Mar 19, 2008. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Tucker, GA. The record was last updated on Jul 31, 2026.