Individual
DR. CHRIS RANKIN GLENDENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1457
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09712
BCBS PROV #
NC
01
—
410032674
RR MEDICARE INDIVIDUAL #
NC
01
—
410048188
RR MEDICARE INDIVIDUAL #
NC
05
—
8909712
—
NC
Enumeration date
04/11/2006
Last updated
11/15/2017
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