Mark S Glenn is a Russell, Kansas based male Optometrist who is specialized in Optometry. Active license number of Mark S Glenn is 11533 for Optometry in Kansas. Mark S Glenn 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:
Mark S Glenn 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:
OD
Gender:
Male
Practice Address:
702 N Kansas, Russell, Kansas, 67665-0535
Phone:
785-483-2451
Fax:
785-483-4986
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.
NPI Number:
1689760886
NPI Enumeration Date:
05 Oct, 2006
NPI Last Update On:
09 May, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark S Glenn are as mentioned below.
License Number
Specialization
State
Status
11533
Optometry
Kansas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mark S Glenn such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5502690001
Other
Kansas
DMEPOS
100219210B
Medicaid
Kansas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 535, Russell, Kansas
Zip:
67665-0535
Phone Number:
785-483-2451
Fax Number:
785-483-4986
Patients can reach Mark S Glenn at 702 N Kansas, Russell, Kansas or can call to book an appointment on 785-483-2451. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.