Organization
GLANVILLE & HUSSING, O.D. , INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES M GLANVILLE O.D. (PRESIDENT)
(330) 929-9941
Entity
Organization
Contact information
Practice address
646 PORTAGE TRL, CUYAHOGA FALLS, OH 44221-3000
(330) 929-9941
(330) 929-3926
Mailing address
646 PORTAGE TRL, CUYAHOGA FALLS, OH 44221-3000
(330) 929-9941
(330) 929-3926
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2875
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361504
—
OH
Enumeration date
12/12/2006
Last updated
01/21/2014
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