Organization
GLENN REAMS OCULARIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN REAMS (OWNER)
(618) 939-7577
Entity
Organization
Contact information
Practice address
111 S MAIN ST STE 2F, WATERLOO, IL 62298-1391
(618) 939-7577
(618) 939-7862
Mailing address
407 PARK ST, WATERLOO, IL 62298-1309
(618) 939-7577
(618) 939-7862
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/24/2007
Last updated
01/18/2023
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