Organization
GLENN BAGGS, OD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC GLENN BAGGS O.D. (OWNER)
(918) 687-9898
Entity
Organization
Contact information
Practice address
501 N MAIN ST, SUITE 36B, MUSKOGEE, OK 74401-6348
(918) 687-9898
(918) 683-1990
Mailing address
501 N MAIN ST, SUITE 36B, MUSKOGEE, OK 74401-6348
(918) 687-9898
(918) 683-1990
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2089
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100747780A
—
OK
Enumeration date
01/09/2007
Last updated
05/01/2008
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