Glen D Nydam is a Optometrist in Mitchell, South Dakota. Glen D Nydam practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Glen D Nydam is 1003887688. The last update date is 2022-11-10.
Glen D Nydam's current location address is 305 N Sanborn Blvd, Mitchell, South Dakota. You can contact this provider via phone number 6059962537 and fax number 6059960500. The mailing address for Glen D Nydam is 305 N Sanborn Blvd, Mitchell, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen D Nydam |
|---|---|
| Address | 305 N Sanborn Blvd, Mitchell, South Dakota |
| Phone Number | 6059962537 |
| Fax Number | 6059960500 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1003887688 |
|---|---|
| Provider Enumeration Date | 2006-01-31 |
| Last Updated Date | 2022-11-10 |
Provider Mailing Address Detail
| Address | 305 N Sanborn Blvd |
|---|---|
| City | Mitchell |
| State | South Dakota (SD) |
| Post Code | 573012449 |
| Phone Number | 6059962537 |
| Fax Number | 6059960500 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 542 |
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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 |
|---|---|---|---|
| 20048 | SD | SANFORD HEALTH PLAN | |
| 9170527 | SD | DAKOTACARE | |
| 9203192 | SD | -- | |
| 6936 | SD | WELLMARK BCBS | |
| 230048 | SD | MIDLANDS CHOICE | |
| 9203190 | SD | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Glen D Nydam by the Centers for Medicare & Medicaid Services?
The Glen D Nydam has been assigned the NPI (National Provider Identifier) 1003887688 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Glen D Nydam's facilities are situated?
The facilities of Glen D Nydam are physically located at the following address: 305 N Sanborn Blvd, Mitchell, SD, 573012449.
What is Glen D Nydam's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Glen D Nydam is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1003887688 to Glen D Nydam?
The Glen D Nydam received its 1003887688 assignment from the Centers for Medicare & Medicaid Services on 2006-01-31.
When was the Glen D Nydam's information last updated?
The Glen D Nydam's information was last updated on 2022-11-10.
NPI Number: 1982607784
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