Individual
DR. GARY S GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9302 N MERIDIAN ST, SUITE 150, INDIANAPOLIS, IN 46260-1873
(317) 848-4444
(317) 848-7976
Mailing address
9302 N MERIDIAN ST, SUITE 150, INDIANAPOLIS, IN 46260-1873
(317) 848-4444
(317) 848-7976
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001443A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089981
ANTHEM
—
Enumeration date
11/08/2005
Last updated
07/18/2007
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