GLENN K. ROTER, OD, A PROFESSIONAL CORPORATION
NPI 1053612424
Optometrist in Las Vegas, NV

Q: What is Glenn K. Roter, Od, A Professional Corporation's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since November 16, 2010

5200 S FORT APACHE RD, LAS VEGAS, NV 89148(702) 368-0092(702) 368-0097 Get Directions Write a Review

NPPES record last updated: November 16, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Glenn K. Roter, Od, A Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENN K. ROTER, OD, A PROFESSIONAL CORPORATION (NPI 1053612424) is a healthcare organization registered as an optometrist in Las Vegas, Nevada and active in the NPI registry since November 2010. The organization lists Glenn K. Roter, President, as its authorized official.

NPPES Registry Identity

NPI1053612424

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameGLENN K. ROTER, OD, A PROFESSIONAL CORPORATION

Location Address5200 S FORT APACHE RDLas Vegas, NV 89148-1722

Mailing Address5200 S Fort Apache RdLas Vegas, NV 89148-1722 · (702) 368-0092 · Fax (702) 368-0097

Phone(702) 368-0092

Fax(702) 368-0097

Organization SubpartNo

Authorized OfficialGlenn K. RoterPresident · (702) 368-0092

Enumeration DateNovember 16, 2010

✔ NPI 1053612424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in NV · NV 411

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

5200 S FORT APACHE RD, Las Vegas, NV 89148

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Other Identifiers 1

Medicare UPINU67476

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenn K. Roter, Od, A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Glenn K. Roter, Od, A Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Glenn Roter, O.D.

Optometry

NPI 1245316629

5200 S FORT APACHE RD
Las Vegas, NV 89148

(702) 368-0092

✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn K. Roter, Od, A Professional Corporation's NPI number?

The NPI number for Glenn K. Roter, Od, A Professional Corporation is 1053612424. It was assigned to this organization in the NPPES registry on November 16, 2010.

Where is Glenn K. Roter, Od, A Professional Corporation located?

Glenn K. Roter, Od, A Professional Corporation is located at 5200 S Fort Apache Rd, Las Vegas, NV 89148. The listed phone number is (702) 368-0092.

What is Glenn K. Roter, Od, A Professional Corporation's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Glenn K. Roter, Od, A Professional Corporation enrolled in Medicare?

Yes. Glenn K. Roter, Od, A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Glenn K. Roter, Od, A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Glenn K. Roter, Od, A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Glenn K. Roter, Od, A Professional Corporation accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Glenn K. Roter, Od, A Professional Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glenn K. Roter, Od, A Professional Corporation was last updated on November 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.