Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN ALBERT FAIRALL
Active Sole ProprietorGLENN ALBERT FAIRALL is a Optician healthcare provider located in ALBANY, Oregon. NPI 1982169611 is currently active in the NPPES registry. Verify at CMS.
Optician · ALBANY, OR
Registration Details
- NPI Number
- 1982169611
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 6, 2019 (7.5464064625877 yrs)
- Last Updated
- Feb 6, 2019
- License
-
88193 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2532 NW ASHLEY DRALBANY, OR, 973211395Browse OR providers · Browse ZIP 97321
- Phone
- 5419791019
- Primary Specialty
-
Optician
156F00000X
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.