Dr. Elwood Glenn Likens

O.D | Optometrist | 32+ years Exp


  
4130 Western Blvd, Jacksonville
North Carolina, 28546-6740

 910-353-9200     910-353-5459Maps & Directions
Dr. Elwood Glenn Likens is a Jacksonville, North Carolina based male Optometrist with 32 years of experience in Optometry. He completed his graduation from University Of Alabama School Of Dentistry in 1994. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Elwood Glenn Likens is 1550 for Optometry in North Carolina.
Dr. Elwood Glenn Likens 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.


Complete Profile:
Dr. Elwood Glenn Likens speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Optometry
Credentials: O.D
Experience: 32+ years
Medical School Attended:University Of Alabama School Of Dentistry
Graduation Year:1994
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:4130 Western Blvd, Jacksonville,
North Carolina, 28546-6740
Phone:910-353-9200
Fax:910-353-5459
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 6204950926
Enrollment ID: I20100902000405
NPI Number: 1558314120
NPI Enumeration Date: 18 May, 2006
NPI Last Update On: 10 Nov, 2025

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Elwood Glenn Likens are as mentioned below.
License NumberSpecializationStateStatus
1550Optometry North CarolinaPrimary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Elwood Glenn Likens has association with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Risk Optometric Associates, Pa (8325110034)10
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Elwood Glenn Likens such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
890903RMedicaidNorth Carolina
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Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 15933 Clayton Rd Ste 210,
Ballwin, Missouri
Zip: 63011-2172
Phone Number: 636-200-4393
Fax Number: 636-527-0766
Patients can reach Dr. Elwood Glenn Likens at 4130 Western Blvd, Jacksonville, North Carolina or can call to book an appointment on 910-353-9200.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.
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