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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GLENN R LONDOS, O.D.

Active Sole Proprietor

GLENN R LONDOS, O.D. is a Optometrist healthcare provider located in LA GRANGE PARK, Illinois. NPI 1295791622 is currently active in the NPPES registry. Verify at CMS.

Optometrist · LA GRANGE PARK, IL

Registration Details

NPI Number
1295791622
Provider Type
Individual
Gender
Male
NPI Issued
Apr 25, 2006 (20.320351301571 yrs)
Last Updated
Sep 27, 2010
Licenses
046007566 (IL)
046007566 (IL)
046007566 (IL)
046007566 (IL)
046007566 (IL)
Sole Proprietor
Yes

Practice Information

Address
1103 E 31ST ST
LA GRANGE PARK, IL, 605261280
Browse IL providers · Browse ZIP 60526
Phone
7085881781
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Pediatric Optometrist
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.