Individual
DR. JARED MARK GLACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002801
PA
152W00000X
Optometrist
TA2388
MD
Other
Enumeration date
09/20/2013
Last updated
07/10/2024
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