Mark S Glenn, OD | |
702 N Kansas, Russell, KS 67665-0535 | |
(785) 483-2451 | |
(785) 483-4986 |
Full Name | Mark S Glenn |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 702 N Kansas, Russell, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689760886 | NPI | - | NPPES |
5502690001 | Other | KS | DMEPOS |
100219210B | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 11533 (Kansas) | Primary |
Provider Name | The Russell Eyecare Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841710563 PECOS PAC ID: 9133495047 Enrollment ID: O20171020001594 |
Mailing Address | Practice Location Address |
---|---|
Mark S Glenn, OD Po Box 535, Russell, KS 67665-0535 Ph: (785) 483-2451 | Mark S Glenn, OD 702 N Kansas, Russell, KS 67665-0535 Ph: (785) 483-2451 |
Paul M Lampert Od Pa Optometrist Medicare: Medicare Enrolled Practice Location: 124 East Wichita Avenue, Russell, KS 67665 Phone: 785-483-2291 Fax: 785-483-3636 | |
Drs Glenn And Glenn Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 702 N Kansas, Russell, KS 67665 Phone: 785-483-2451 Fax: 785-483-4986 | |
Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 702 N Kansas St, Russell, KS 67665 Phone: 785-483-2451 Fax: 785-798-4986 | |
Paul M Lampert, OD PA Optometrist Medicare: Accepting Medicare Assignments Practice Location: 124 East Wichita Avenue, Russell, KS 67665 Phone: 785-483-2291 Fax: 785-483-3636 | |
The Russell Eyecare Center Optometrist Medicare: Medicare Enrolled Practice Location: 702 N Kansas St, Russell, KS 67665 Phone: 785-483-2451 |