Organization
GLENN OPTICAL, PLLC
Active
Other names
Dr. Jason Glenn & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON GLENN O.D. (OWNER)
(859) 271-6194
Entity
Organization
Contact information
Practice address
161 LEXINGTON GREEN CIR, SUITE B6, LEXINGTON, KY 40503-3325
(859) 271-6194
(859) 271-4399
Mailing address
161 LEXINGTON GREEN CIR, SUITE B6, LEXINGTON, KY 40503-3325
(859) 271-6194
(859) 271-4399
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1685DT
KY
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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