Individual
DR. GLENN J. MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1016 N 32ND ST, STE. 2, PHOENIX, AZ 85008-5107
(602) 267-7573
(602) 267-7595
Mailing address
6420 E LOWDEN RD, CAVE CREEK, AZ 85331-6128
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
491
AZ
152WC0802X
Corneal and Contact Management Optometrist
Primary
491
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20189547
TPIN
AZ
01
—
EGNU52050
MPIN
AZ
Enumeration date
07/03/2006
Last updated
09/11/2025
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