DR. AMBRA T GLASS (O.D.) – Optometrist, NPI 1902894686
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
619 OPTOMETRY in AL
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Provider Addresses for DR. AMBRA T GLASS (O.D.)
South Broad Street, Jackson Square, Scottsboro, Jackson County, Alabama, 35768, United States
SCOTTSBORO, AL 357682508
Phone: (256) 259-4115
Fax: (256) 259-3643
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $208.
Total Amount is formed as General ($208) + Research ($0) + Ownership ($0) = $208.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Alcon Vision LLC ($118).
Total Amount
$208
General + Research + Ownership
Payments
5
Total payment records
General Amount
$208
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $118 |
| CooperVision Inc. | $90 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100907000808 | I | Optometry | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 76 | 76 | $0 |
| 92012 | Established patient problem focused exam of visual system | 75 | 74 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 49 | 45 | $0 |
| 92133 | Imaging of optic nerve | 12 | 11 | $0 |
| 92134 | Imaging of retina | 11 | 11 | $0 |
Insurance plans in this area (ZIP 35768)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | AL | |
| - | MO | |
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | AL | |
| - | AL | |
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | MO |
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