Glenn R Londos, OD is a medicare enrolled "Optometrist" provider in La Grange Park, Illinois. His current practice location is
1103 E 31st St, La Grange Park, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 588-1781.
Glenn R Londos is licensed to practice in Illinois (license number 046007566) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295791622.
Healthcare Provider's Profile
| Full Name | Glenn R Londos |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1103 E 31st St, La Grange Park, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Glenn R Londos attended and graduated from in
NPI Data:
- NPI Number: 1295791622
- Provider Enumeration Date: 04/25/2006
- Last Update Date: 09/27/2010
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Glenn R Londos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295791622 | NPI | - | NPPES |
| 1684555 | Other | IL | BLUE CROSS BLUE SHIELD |
| 046007566 | Medicaid | IL | |
| 195546334402 | Other | IL | HUMANA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 046007566 (Illinois) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 046007566 (Illinois) | Secondary |
| 152WL0500X | Optometrist - Low Vision Rehabilitation | 046007566 (Illinois) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | 046007566 (Illinois) | Secondary |
| 152WX0102X | Optometrist - Occupational Vision | 046007566 (Illinois) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Glenn R Londos is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Glenn R Londos, OD
1234 Lathrop Ave,
River Forest, IL 60305-1116
Ph: (708) 771-5537 | Glenn R Londos, OD
1103 E 31st St,
La Grange Park, IL 60526-1280
Ph: (708) 588-1781 |
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