MR. GLENN L WILSON (NPI# 1285859801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285859801 |
| Entity Type | Individual |
| Full Name | MR. GLENN L WILSON |
| Credential | OPTICIAN |
| Practice Address |
120 W Main St Suite 210 Mesquite TX 75149-4264 |
| Practice Telephone | 9722859896 |
| Practice Fax Number | 9723291005 |
| Mailing Telephone | 9722859896 |
| Mailing Fax Number | 9723291005 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
DR0427 | TX | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689676652 | Glenn M Wilson | Dentist | 146 Danbury Rd, Suite C, New Milford, CT 06776-3427 | 2005-08-10 |
| 1417471426 | Glenn Gordon Wilson | Prosthetist | 514 S Washington St, Spokane, WA 99204-2620 | 2017-08-01 |
| 1720401789 | Glenn Wilson | Military Health Care Provider | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2014-01-28 |
| 1245672609 | Glenn Jay Wilson | Counselor | 267 6th St, Meeker, CO 81641 | 2013-07-25 |
| 1730230111 | Glenn Dean Wilson | Dentist | 4601 Brainerd Rd, Chattanooga, TN 37411-3826 | 2007-01-14 |
| 1750479754 | Glenn L Wilson | Orthopaedic Surgery | 100 Medical Center Dr., Suite 101, Gadsden, AL 35903-1130 | 2006-10-11 |
| 1831294297 | Glenn David Wilson | Counselor | 1435 N Oakland Blvd, Waterford, MI 48327-1549 | 2006-09-13 |
| Street Address |
120 W MAIN ST SUITE 210 |
| City | MESQUITE |
| State | TX |
| Zip Code | 75149-4264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477181006 | Derek Anderson | Community Health Worker | 120 W Main St, Mesquite, TX 75149-4264 | 2020-03-30 |
| 1780105585 | Lomaia R. Rockwell | Social Worker | 120 W Main St, Mesquite, TX 75149-4264 | 2017-06-30 |
| 1982067567 | Myesha Dixon | Social Worker | 120 W Main St, Mesquite, TX 75149-4264 | 2016-04-01 |
| 1073569356 | Sharon Kirven Md Pa | Family Medicine | 120 W Main St, Suite 205, Mesquite, TX 75149 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891340642 | Michael Ryan Tong | Pharmacist | 300 West Kearney, Mesquite, TX 75149 | 2019-08-08 |
| 1720548118 | Life Specialty Pharmacy, Inc. | Pharmacy | 949 W. Kearney St., Suite 107, Mesquite, TX 75149 | 2019-03-21 |
| 1851857304 | Foursquare Texas 16 LLC | Skilled Nursing Facility | 750 Highway 352, Mesquite, TX 75149 | 2019-02-20 |
| 1629561477 | Christina Yvette Smith | Nurse Practitioner | 1336 N Galloway Ave Ste 124, Mesquite, TX 75149 | 2018-06-07 |
| 1356844484 | D&b Dentistry, Pllc | Clinic/Center | 5550 South Buckner Blvd., Ste 270, Mesquite, TX 75149 | 2018-03-15 |
| 1811426216 | Higher Ground Services LLC | In Home Supportive Care | 624 Yosemite Trail, Mesquite, TX 75149 | 2017-06-08 |
| 1275067977 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 1951 Military Parkway, Mesquite, TX 75149 | 2017-04-19 |
| 1922530591 | Johnny Staton | Physician Assistant | 1208 Paintbrush St, Mesquite, TX 75149 | 2017-04-01 |
| 1811432115 | Fastpass Ucm, Pllc | Emergency Medicine | 1080 E Cartwright Rd, Suite 120, Mesquite, TX 75149 | 2016-12-22 |
| 1508309170 | Code 3 Emergency Partners At Mesquite, LLC | Clinic/Center | 1080 E Cartwright Rd Ste 100, Mesquite, TX 75149 | 2016-11-29 |
| Find all providers in zip 75149 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053830695 | Eyemax Family Vision Pllc | Technician/Technologist | 1515 N Town East Blvd Ste 523, Mesquite, TX 75150-4198 | 2017-09-14 |
| 1417058553 | Vision Health Services | Technician/Technologist | 3434 Towne Crossing Blvd, 112, Mesquite, TX 75150-2782 | 2006-09-25 |
| 1710083100 | Wal-mart Stores, Inc. | Technician/Technologist | 1110 W Pioneer Blvd, Mesquite, NV 89027-8864 | 2006-09-15 |
| 1093131088 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1515 N Town East Blvd, Mesquite, TX 75150-4157 | 2014-03-14 |
| 1619052552 | Wal-mart Stores Texas, Lp | Technician/Technologist | 200 Us Highway 80 E, Mesquite, TX 75149-1656 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095271 | Quyen Ngo Nguyen | Technician/Technologist | 1830 S Mason Rd Ste 125, Katy, TX 77450-3240 | 2020-02-20 |
| 1710522479 | Mikel Rivera | Technician/Technologist | 314 N Walnut St Ste C, Sherman, TX 75090-0047 | 2019-11-16 |
| 1740822501 | Eyeglasses of Texas | Technician/Technologist | 6200 Bellaire Blvd Ste J, Houston, TX 77081-4902 | 2019-10-14 |
| 1013558840 | Cristian Villagomez | Technician/Technologist | 2128 Kazmeier Plz, Bryan, TX 77802-3414 | 2019-10-02 |
| 1104393339 | National Vision Inc | Technician/Technologist | 2525 W Anderson Ln Ste 150, Austin, TX 78757-1180 | 2018-10-25 |
| 1063987618 | Stephen Williams | Technician/Technologist | 701 Commerce St Ste 629, Dallas, TX 75202-4522 | 2018-10-10 |
| 1174007207 | National Vision Inc | Technician/Technologist | 3916 Kemp Blvd Ste K, Wichita Falls, TX 76308-2119 | 2018-09-25 |
| 1295217032 | Richard D Reyes | Technician/Technologist | 115 E Travis St Ste 100, San Antonio, TX 78205-1668 | 2018-08-29 |
| 1205316890 | Katherine Denney | Technician/Technologist | 202 W Main St Ste 200-107, Allen, TX 75013-8094 | 2018-08-14 |
| 1407332497 | National Vision Inc | Technician/Technologist | 3649 Catclaw Dr, Abilene, TX 79606-8249 | 2018-07-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.