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

MARK S GLENN, OD

Active

MARK S GLENN, OD is a Optometrist healthcare provider located in RUSSELL, Kansas. NPI 1689760886 is currently active in the NPPES registry. Verify at CMS.

Optometrist · RUSSELL, KS

Registration Details

NPI Number
1689760886
Provider Type
Individual
Gender
Male
NPI Issued
Oct 5, 2006 (19.843984634731 yrs)
Last Updated
May 9, 2016
License
11533 (KS)

Practice Information

Address
702 N KANSAS
RUSSELL, KS, 676650535
Browse KS providers · Browse ZIP 67665
Phone
7854832451
Fax
7854834986
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in RUSSELL, KS

Name Credential NPI
PAUL M LAMPERT OD PA 1811027790
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.