Individual
MICHELLE GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
530 WESSEL DR STE G, FAIRFIELD, OH 45014-3651
(513) 829-4600
Mailing address
40 E NORTH ST, EUREKA, MO 63025-1205
(636) 200-4393
(636) 938-2650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6375
OH
Other
Enumeration date
06/22/2015
Last updated
08/03/2015
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