Organization
GLEN T. CAHILL, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN T CAHILL O.D. (PRESIDENT)
(785) 242-4303
Entity
Organization
Contact information
Practice address
302 S MAIN ST, OTTAWA, KS 66067-2332
(785) 242-4303
(785) 242-0238
Mailing address
302 S MAIN ST, OTTAWA, KS 66067-2332
(785) 242-4303
(785) 242-0238
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1342
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100218960A
—
KS
Enumeration date
06/24/2009
Last updated
06/24/2009
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