Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLEN D NYDAM, O.D.
ActiveDR. GLEN D NYDAM, O.D. is a Optometrist healthcare provider located in MITCHELL, South Dakota. NPI 1003887688 is currently active in the NPPES registry. Verify at CMS.
Optometrist · MITCHELL, SD
Registration Details
- NPI Number
- 1003887688
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2006 (20.496118693177 yrs)
- Last Updated
- Nov 10, 2022
- License
-
542 (SD)
Practice Information
- Address
-
305 N SANBORN BLVDMITCHELL, SD, 573012449Browse SD providers · Browse ZIP 57301
- Phone
- 6059962537
- Fax
- 6059960500
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in MITCHELL, SD
| Name | Credential | NPI |
|---|---|---|
| DR. GREGG A BLEEKER | O.D. | 1942271382 |
| DR. THOMAS A YOUNG | O.D. | 1417964792 |
| NANCY LYNN HETLAND | O.D. | 1659460889 |
| DR. JEFF KRALL | O.D. | 1083741839 |
| DEBORAH K BESSLER | O.D. | 1568653426 |
| DR. SHEILA DAWN GRIEVE | O.D. | 1427206309 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.