Individual
DR. GLEN H STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
365 HIGHWAY 51 N, BATESVILLE, MS 38606-2311
(662) 563-9880
(662) 563-9882
Mailing address
365 HIGHWAY 51 N, BATESVILLE, MS 38606-2311
(662) 563-9880
(662) 563-9882
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
535
MS
152WP0200X
Pediatric Optometrist
535
MS
152WS0006X
Sports Vision Optometrist
535
MS
152WX0102X
Occupational Vision Optometrist
535
MS
156FC0800X
Contact Lens Technician/Technologist
535
MS
156FC0801X
Contact Lens Fitter
535
MS
156FX1100X
Ophthalmic Technician/Technologist
535
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087100
—
MS
Enumeration date
08/31/2006
Last updated
03/18/2014
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