Glenn K. Roter, OD, a Professional Corporation
NPI 1053612424 · Optometrist · Las Vegas, NV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Glenn K. Roter, OD, a Professional Corporation is a Optometrist organization in Las Vegas, NV (NPI 1053612424).
Provider details
- NPI number
- 1053612424
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Glenn Roter, President(702) 368-0092
- License
- NV 411 (NV)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-11-16
- Last updated
- 2010-11-16
Frequently asked questions
- What is Glenn K. Roter, OD, a Professional Corporation's NPI number?
- Glenn K. Roter, OD, a Professional Corporation's National Provider Identifier (NPI) is 1053612424, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Glenn K. Roter, OD, a Professional Corporation?
- Glenn K. Roter, OD, a Professional Corporation is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Glenn K. Roter, OD, a Professional Corporation located?
- Glenn K. Roter, OD, a Professional Corporation's practice location on file with NPPES is 5200 S Fort Apache Rd, Las Vegas, NV 89148-1722.
- What is Glenn K. Roter, OD, a Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Glenn K. Roter, OD, a Professional Corporation is (702) 368-0092.
- Does Glenn K. Roter, OD, a Professional Corporation accept Medicare?
- Glenn K. Roter, OD, a Professional Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Glenn K. Roter, OD, a Professional Corporation?
- The authorized official listed on Glenn K. Roter, OD, a Professional Corporation's NPPES record is Glenn Roter, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Glenn K. Roter, OD, a Professional Corporation's NPI active?
- Yes — Glenn K. Roter, OD, a Professional Corporation's NPI (1053612424) is active in the NPPES registry as of the last update on 2010-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.