Elwood Glenn Likens in Jacksonville - Optometrist
Elwood Glenn Likens - NPI 1558314120
Elwood Glenn Likens is a Optometrist in Jacksonville, North Carolina. Elwood Glenn Likens practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Elwood Glenn Likens is 1558314120. The last update date is 2010-08-11.
Elwood Glenn Likens's current location address is 2025 N Marine Blvd, Jacksonville, North Carolina. You can contact this provider via phone number 9109371297 and fax number 9109371296. The mailing address for Elwood Glenn Likens is 2025 N Marine Blvd, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elwood Glenn Likens |
|---|---|
| Address | 2025 N Marine Blvd, Jacksonville, North Carolina |
| Phone Number | 9109371297 |
| Fax Number | 9109371296 |
| Sole Proprietor | N |
| Credentials | O.D |
NPI Number Detail
| NPI Number | 1558314120 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2010-08-11 |
Provider Mailing Address Detail
| Address | 2025 N Marine Blvd |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 285466920 |
| Phone Number | 9109371297 |
| Fax Number | 9109371296 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1550 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 890903R | NC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Elwood Glenn Likens?
The Elwood Glenn Likens has been issued the NPI (National Provider Identifier) 1558314120 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Elwood Glenn Likens is physically located?
The Elwood Glenn Likens is physically situated at the following address: 2025 N Marine Blvd, Jacksonville, NC, 285466920.
What is Elwood Glenn Likens's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Elwood Glenn Likens is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
On what date was the 1558314120 assigned to Elwood Glenn Likens?
The Elwood Glenn Likens was issued its 1558314120 on 2006-05-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Elwood Glenn Likens last refreshed?
The information related to the Elwood Glenn Likens, including its address, specialty, and other relevant details, was last updated on 2010-08-11.