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Deactivated NPI 1477732170 Deactivated / Inactive NPI Male Practitioner

Dr. Glenn R Thayer , OD

Optometrist • Lake Placid, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Glenn Thayer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 30, 2007
NPI Deactivation Date July 24, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Glenn Thayer, OD was a registered Optometrist practicing in Lake Placid, FL. Throughout an active medical career spanning 18 years, Dr. Thayer provided care at the practice location at 27 US 27 S until profile deactivation on 2025-07-24.

Historical Medicare Part B clinical services included established patient outpatient office visit, established patient complete exam of visual system, imaging of optic nerve. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

27 Us 27 S

Lake Placid, FL 338527916

Telephone 8634654904
Fax 8634654650
Associated Practice Facility / Clinic
🏢 Thayer Eye Care Pa Facility NPI 1649342767

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Lake Placid, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Lake Placid, FL (3724 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
4.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
97 69 $43.51 $41.75
92014 Established patient complete exam of visual system
68 68 $122.80 $118.00
92133 Imaging of optic nerve
56 55 $37.63 $34.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
46 45 $107.69 $102.81
92083 Exam of visual field with extended testing
44 43 $63.10 $60.92
99213 Established patient office or other outpatient visit, typically 15 minutes
41 38 $73.17 $70.19
92134 Imaging of retina
40 39 $41.02 $38.75
92004 New patient complete exam of visual system
28 28 $147.93 $141.84

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL OPC1197

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 24, 2025

Record deactivated on July 24, 2025

NPI Profile Active March 18, 2008

NPI status registered as active in NPPES database

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Updated Practice Location March 18, 2008

Registered at 27 US 27 S, LAKE PLACID, FL 338527916 (Tel: 8634654904)

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Updated Business Mailing Address March 18, 2008

Registered at 27 US 27 S, LAKE PLACID, FL 338527916 (Tel: 8634654904)

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Provider Name / Credentials Updated March 18, 2008

Recorded as GLENN THAYER, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2008

Optometrist (License #OPC1197 in FL)

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Initial NPI Registration & Enumeration October 30, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477732170
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2007
Last Update: March 18, 2008
Deactivation Date: July 24, 2025

Mailing Address

27 Us 27 S

Lake Placid, FL 338527916

Phone: 8634654904

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.