Lisa Eileen Glenn, OD is a
Optometrist based in Pinedale, Wyoming. Lisa Eileen Glenn is licensed to practice in Wyoming (license number 236T) and her current practice location is
376 N. Sublette, Pinedale, Wyoming. She can be reached at her office (for appointments etc.) via phone at
(307) 367-2727.
NPI number for Lisa Eileen Glenn is 1487796330 and her current mailing address is 376 N. Sublette, Po Box 907, Pinedale, Wyoming. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487796330.
Healthcare Provider's Profile
Full Name | Lisa Eileen Glenn |
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Gender | Female |
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Speciality | Optometrist |
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Location | 376 N. Sublette, Pinedale, Wyoming |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487796330
- Provider Enumeration Date: 02/13/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Lisa Eileen Glenn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487796330 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 236T (Wyoming) | Primary |
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. Lisa Eileen Glenn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa Eileen Glenn, OD 376 N. Sublette, Po Box 907, Pinedale, WY 82941 Ph: (307) 367-2727 | Lisa Eileen Glenn, OD 376 N. Sublette, Pinedale, WY 82941 Ph: (307) 367-2727 |
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