Dr Glenn Young, OD | |
550 Forest Ave Ste 12, Plymouth, MI 48170-1769 | |
(734) 455-3340 | |
(734) 254-9230 |
Full Name | Dr Glenn Young |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 550 Forest Ave Ste 12, Plymouth, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427198126 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901003268 (Michigan) | Primary |
Provider Name | Monroe Vision Source |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174920748 PECOS PAC ID: 8022335884 Enrollment ID: O20150317000106 |
Mailing Address | Practice Location Address |
---|---|
Dr Glenn Young, OD 550 Forest Ave Ste 12, Plymouth, MI 48170-1769 Ph: (734) 455-3340 | Dr Glenn Young, OD 550 Forest Ave Ste 12, Plymouth, MI 48170-1769 Ph: (734) 455-3340 |
Robert Ray Baltierra, Optometrist Medicare: May Accept Medicare Assignments Practice Location: 44429 Ann Arbor Rd W, Plymouth, MI 48170 Phone: 734-416-0348 | |
P-cor Llc Optometrist Medicare: Medicare Enrolled Practice Location: 40895 Ann Arbor Rd, Plymouth, MI 48170 Phone: 734-233-6300 | |
Dr. Andrew John Ealovega, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 217 W Sheldon, Plymouth, MI 48170 Phone: 734-453-4870 Fax: 734-453-2849 | |
Dr. Paul Walter Kenzie, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 108 N Main St, Plymouth, MI 48170 Phone: 734-453-8450 Fax: 734-453-6347 | |
Dr. James M Carney, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1358 S Main St, Plymouth, MI 48170 Phone: 734-453-6190 Fax: 734-453-4640 | |
Picard Family Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 670 S Main St, Plymouth, MI 48170 Phone: 734-446-6889 Fax: 734-259-0804 | |
Brian M Carney, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1358 S Main St, Plymouth, MI 48170 Phone: 734-453-6190 Fax: 734-453-4640 |