DR. GARY S GLENN (NPI# 1417938374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417938374 |
| Entity Type | Individual |
| Full Name | DR. GARY S GLENN |
| Credential | OD |
| Practice Address |
9302 N Meridian St Suite 150 Indianapolis IN 46260-1873 |
| Practice Telephone | 3178484444 |
| Practice Fax Number | 3178487976 |
| Mailing Telephone | 3178484444 |
| Mailing Fax Number | 3178487976 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2007-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18001443A | IN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 000000089981 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467594572 | Gary Ray Glenn | Optometrist | 925 Blossom Hill Rd Ste 1139, San Jose, CA 95123-1243 | 2007-02-13 |
| 1962579797 | Gary B Glenn | Nurse Anesthetist, Certified Registered | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2006-11-29 |
| Street Address |
9302 N MERIDIAN ST SUITE 150 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-1873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750389409 | Richard Stephens French | Psychiatry & Neurology | 9302 N Meridian St, Suite 101, Indianapolis, IN 46260-1841 | 2005-07-07 |
| 1932573854 | Hilary Maples | Occupational Therapist | 9302 N Meridian St, Ste. 190, Indianapolis, IN 46260-1873 | 2015-11-16 |
| 1194130591 | Sarah Gardner | Physical Therapist | 9302 N Meridian St, Ste 190, Indianapolis, IN 46260-1873 | 2014-06-24 |
| 1962771097 | Kathleen Louise Groff | Nurse Practitioner | 9302 N Meridian St, Suite 101, Indianapolis, IN 46260-1841 | 2011-12-19 |
| 1043593411 | Jeremy W West | Physical Therapist | 9302 N Meridian St, Suite 190, Indianapolis, IN 46260-1873 | 2011-09-22 |
| 1144454398 | Brainchild Neurobehavioraltreatment Center LLC | Chiropractor | 9302 N Meridian St, Ste 170-a, Indianapolis, IN 46260-1873 | 2009-05-03 |
| 1528203270 | Eyeq Optometry P. C. | Optometrist | 9302 N Meridian St, Suite 150, Indianapolis, IN 46260-1873 | 2008-12-10 |
| 1518136936 | Chiropractic Neurology Center of Indianapolis, PC | Chiropractor | 9302 N Meridian St, Ste 299, Indianapolis, IN 46260-1873 | 2008-02-29 |
| 1033398417 | North Meridian Psychiatric Associates, Inc. | Clinic/Center | 9302 N Meridian St, Suite 225, Indianapolis, IN 46260-1873 | 2007-11-01 |
| 1306046420 | Gary S Glenn Od PC | Optometrist | 9302 N Meridian St, Ste 150, Indianapolis, IN 46260-1873 | 2007-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437774486 | Meret Thomas-huebner | Optometrist | 1160 W Michigan St Unit 100, Indianapolis, IN 46202-5209 | 2020-06-15 |
| 1013560333 | Nhi Thi Tuyet Nguyen | Optometrist | 1901 N Meridian Street, Indianapolis, IN 46202-1303 | 2019-07-17 |
| 1356900195 | Myeyedr Optometry of Indiana, LLC | Optometrist | 8170 Oaklandon Rd Ste A, Indianapolis, IN 46236-9543 | 2019-06-06 |
| 1801382239 | Myeyedr Optometry of Indiana, LLC | Optometrist | 54 Monument Cir Ste 125, Indianapolis, IN 46204-3047 | 2018-07-09 |
| 1922594316 | Myeyedr Optometry of Indiana, LLC | Optometrist | 105 S Raceway Rd Ste 100, Indianapolis, IN 46231 | 2018-07-09 |
| 1386136380 | Samuel Petro | Optometrist | 8125 Wellsbrook Dr, Indianapolis, IN 46278-1254 | 2018-06-05 |
| 1306366232 | Chelsea Till | Optometrist | 9745 Fall Creek Rd Ste 400, Indianapolis, IN 46256-4730 | 2017-06-21 |
| 1225564420 | Ossip Optometry, PC | Optometrist | 7255 N Shadeland Ave, Indianapolis, IN 46250-2021 | 2017-05-08 |
| 1447799226 | City Optical Co., Inc. | Optometrist | 4916 S Emerson Ave, Indianapolis, IN 46203-5937 | 2017-02-14 |
| 1750820643 | Jcpl, LLC | Optometrist | 751 Massachusetts Ave, Indianapolis, IN 46204 | 2017-02-13 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
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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.