GLE GLENWOOD LLC
NPI 1821709957
Optometrist in Glenwood, IA

Active since December 09, 2022CLIA 16D2273442 · Waiver
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: August 09, 2026.

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 holds a CLIA Waiver certificate valid through December 12, 2026 and 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
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

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2273442

Gle Glenwood LLC · Glenwood, IA
Active · expires Dec 12, 2026
CLIA Number16D2273442
Laboratory TypePractitioner Other
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorKyle D. Klute
Laboratory Phone(712) 527-4468
Laboratory LocationGle Glenwood LLC406 1st St, Glenwood, IA 51534
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
406 1ST ST
GLENWOOD, IA 51534
Optometrist
406 1ST ST
GLENWOOD, IA 51534
Optometrist
406 1ST ST
GLENWOOD, IA 51534
Optometrist
406 1ST ST
GLENWOOD, IA 51534
Specialist
406 1ST ST
GLENWOOD, IA 51534

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.

Does Gle Glenwood LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2273442) is associated with this NPI, valid through December 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gle Glenwood LLC accept?

Health plans from BlueCross BlueShield of Tennessee and Medica 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.