GLE GLENWOOD LLC
NPI 1821709957
Optometrist in Glenwood, IA

Q: What is Gle Glenwood LLC's NPI number?

The NPI number for Gle Glenwood LLC is 1821709957. It was assigned to this organization in the NPPES registry on December 9, 2022. The provider is doing business as Young Vision Care.

Q: What is Gle Glenwood LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Gle Glenwood LLC was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 09, 2022

406 1ST ST, GLENWOOD, IA 51534(712) 527-4468(712) 527-9458 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Gle Glenwood Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLE GLENWOOD LLC (NPI 1821709957), doing business as Young Vision Care, is a healthcare organization registered as an optometrist in Glenwood, Iowa and active in the NPI registry since December 2022. The organization lists Shawn Derene Mihulka, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1821709957

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameGLE GLENWOOD LLC

Location Address406 1ST STGlenwood, IA 51534-1706

Mailing AddressPo Box 188Glenwood, IA 51534-0188 · (712) 527-4468 · Fax (712) 527-9458

Phone(712) 527-4468

Fax(712) 527-9458

Organization SubpartNo

Authorized OfficialShawn Derene MihulkaOffice Manager · (712) 520-2759

Enumeration DateDecember 9, 2022

NPPES CertifiedDecember 6, 2022

✔ NPI 1821709957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

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.

406 1ST ST, Glenwood, IA 51534

Open in Google Maps ↗

Other Names 1

Doing Business AsYoung Vision Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gle Glenwood Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Gle Glenwood LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Grace Cory

Optometry

NPI 1932067840

406 1ST ST
Glenwood, IA 51534

(712) 527-4468

✔ PECOS✔ Accepts MedicareSame address

Dara Latner, OD

Optometry

NPI 1912564022

406 1ST ST
Glenwood, IA 51534

(712) 527-4468

✔ PECOS✔ Accepts MedicareSame address

Jacque Young, OD

Optometry

NPI 1174503734

406 1ST ST
Glenwood, IA 51534

(712) 527-4468

✔ PECOSSame address

Travis Jones, OD

Optometry

NPI 1720464878

3201 MANAWA CENTRE DR
Council Bluffs, IA 51501

(712) 366-5101

✔ PECOS✔ Accepts Medicare14 mi

Kristin Bergstrom

Optometry

NPI 1881528495

15655 PACIFIC ST STE 101
Omaha, NE 68118

(402) 697-5122

✔ PECOS26 mi

Kyle Klute

Optometry

NPI 1235556804

5500 ARMSTRONG RD
Battle Creek, MI 49037

(269) 966-5600

✔ PECOS✔ Accepts Medicare548 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gle Glenwood LLC's NPI number?

The NPI number for Gle Glenwood LLC is 1821709957. It was assigned to this organization in the NPPES registry on December 9, 2022. The provider is doing business as Young Vision Care.

Where is Gle Glenwood LLC located?

Gle Glenwood LLC is located at 406 1st St, Glenwood, IA 51534. The listed phone number is (712) 527-4468.

What is Gle Glenwood LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Gle Glenwood LLC enrolled in Medicare?

Yes. Gle Glenwood LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gle Glenwood LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to Gle Glenwood LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Gle Glenwood LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Gle Glenwood LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gle Glenwood LLC was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.