DR. PETER WILLIAM GLENNIE (NPI# 1730134966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730134966 |
| Entity Type | Individual |
| Full Name | DR. PETER WILLIAM GLENNIE |
| Credential | OD |
| Practice Address |
1594 Edgewater Street Nw Suite 190 Salem OR 97304-4656 |
| Mailing Address |
1430 Willamette Street #17 Eugene OR 97401-4049 |
| Practice Telephone | 5037792119 |
| Practice Fax Number | 5037791195 |
| Mailing Telephone | 5417622763 |
| Mailing Fax Number | 5414340912 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1903ATI | OR | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881809754 | Peter A Glennie | Dentist | 2141 N Beverly Ave, Suite 103, Tucson, AZ 85712-2155 | 2007-05-13 |
| Street Address |
1594 EDGEWATER STREET NW SUITE 190 |
| City | SALEM |
| State | OR |
| Zip Code | 97304-4656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114413010 | Sam Mackenzie Lane | Massage Therapist | 1661 Edgewater St Nw # 120, Salem, Or 97304, Salem, OR 97304 | 2018-07-03 |
| 1144761131 | Rachel E Carson | Physical Therapist | 1025 2nd St. Nw, West Salem, OR 97304 | 2017-03-10 |
| 1962951061 | Lee Ann Nail | Social Worker | 3965 Gibson Rd Nw, Salem, OR 97304 | 2016-09-29 |
| 1619421591 | Logan Walters | Physical Therapist | 1025 2nd St Nw, Salem, OR 97304 | 2016-08-09 |
| 1770941338 | Tysandra Gillis | Massage Therapist | 859 Mule Deer St., Salem, OR 97304 | 2016-02-10 |
| 1144620295 | Molly Rodden | Nurse Practitioner | 1174 Cornucopia St Nw Ste 240, Salem, OR 97304 | 2014-08-26 |
| 1881942126 | Cynthia Ruth Rettler | Registered Nurse | 1520 Plaza St Nw Ste 150, Salem, OR 97304 | 2012-08-16 |
| 1336401017 | Trillium Family Services | Community/Behavioral Health | 1520 Plaza Street Nw, Suite 100, Salem, OR 97304 | 2012-06-08 |
| 1033428198 | Kathleen Ketelson | Nurse Practitioner | 560 Wallace Rd Nw Ste 140, Salem, OR 97304 | 2010-10-06 |
| 1922332535 | Robert Scott Mcadam | Social Worker | 1245 Edgewater St. Nw, Salem, OR 97304 | 2009-09-29 |
| Find all providers in zip 97304 | ||||
| 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 |
|---|---|---|---|---|
| 1225638463 | Troy Sanfilippo | Optometrist | 286 Laurelwood Dr, Salem, CT 06420-3937 | 2020-10-27 |
| 1275024135 | Rhode Island Optometrics, LLC | Optometrist | 42 Samoset Dr, Salem, NH 03079 | 2018-05-25 |
| 1003367145 | Melda Nil Esendal | Optometrist | 116r Highland Avenue, Salem, MA 01970 | 2016-10-24 |
| 1487008603 | Douglas Robert Clark | Optometrist | 446 N State Road 198, Salem, UT 84653 | 2016-04-14 |
| 1073948311 | Orbal Mariam Anwari | Optometrist | 305 Liberty St Ne, Salem, OR 97301-3519 | 2013-09-05 |
| 1497195648 | Dr Zhu Eye Associates | Optometrist | 326 N Broadway, Vision Center Inside Walmart, Salem, NH 03079-2122 | 2013-07-02 |
| 1538429816 | Eyeglass Factory | Optometrist | 1885 25th St Se, Salem, OR 97302-1105 | 2012-05-21 |
| 1851607014 | Kendall Loraine Harer Mault | Optometrist | 116r Highland Ave Fl 2, Salem, MA 01970-2723 | 2010-08-26 |
| 1871738898 | Julie A. Mackall Od LLC | Optometrist | 2400 Southeast Blvd Ste A, Salem, OH 44460-3482 | 2008-12-04 |
| 1598915811 | Elizabeth Wolff | Optometrist | 400 N Broadway Ave, Salem, IL 62881-1514 | 2008-09-23 |
| Find all providers in SALEM | ||||
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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.