MARK S GLENN OD
NPI 1689760886
Optometrist in Russell, KS

Active since October 05, 2006
702 N KANSAS, RUSSELL, KS 67665(785) 483-2451(785) 483-4986 Get Directions Write a Review

NPPES record last updated: May 9, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 9, 2016, Mar 29, 2016 (2 updates tracked since 2016).

  • Individual
  • Male
  • Optometrist

About MARK GLENN

This page provides the complete NPI Profile along with additional information for Mark Glenn, a provider established in Russell, Kansas with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1689760886 assigned on October 2006. The practitioner's primary taxonomy code is 152W00000X with license number 11533 (KS). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1689760886 Verify this NPI
Provider Name
MARK S GLENN OD
Gender
Male
Entity Type
Individual
Location Address
702 N KANSAS RUSSELL, KS 67665
Location Phone
(785) 483-2451
Location Fax
(785) 483-4986
Mailing Address
PO BOX 535 RUSSELL, KS 67665
Mailing Phone
(785) 483-2451
Mailing Fax
(785) 483-4986
Is Sole Proprietor?
No
Enumeration Date
10-05-2006
Last Update Date
05-09-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
11533
License State
KS
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5502690001OTHER (01)KSDMEPOS
T43719MEDICARE UPIN (02) 
065116MEDICARE PIN (08)KS 
100219210BMEDICAID (05)KS 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Optometrist
702 N KANSAS
RUSSELL, KS 67665

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689760886, enumerated as an "individual" on October 05, 2006.

The provider is located at 702 N KANSAS RUSSELL, KS 67665 and the phone number is (785) 483-2451.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.