Kristopher L Glanville in Janesville - Optometrist
Kristopher L Glanville - NPI 1104825017
Kristopher L Glanville is a Optometrist in Janesville, Wisconsin. Kristopher L Glanville practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kristopher L Glanville is 1104825017. The last update date is 2020-12-18.
Kristopher L Glanville's current location address is 3200 E Racine St, Janesville, Wisconsin. You can contact this provider via phone number 6083718000 and fax number 6083718907. The mailing address for Kristopher L Glanville is 3200 E Racine St, Janesville, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristopher L Glanville |
|---|---|
| Address | 3200 E Racine St, Janesville, Wisconsin |
| Phone Number | 6083718000 |
| Fax Number | 6083718907 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1104825017 |
|---|---|
| Provider Enumeration Date | 2005-07-21 |
| Last Updated Date | 2020-12-18 |
Provider Mailing Address Detail
| Address | 3200 E Racine St |
|---|---|
| City | Janesville |
| State | Wisconsin (WI) |
| Post Code | 535462343 |
| Phone Number | 6083718000 |
| Fax Number | 6083718907 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2924-035 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1104825017 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kristopher L Glanville by the Centers for Medicare & Medicaid Services?
The Kristopher L Glanville has been issued the NPI (National Provider Identifier) 1104825017, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kristopher L Glanville located?
The Kristopher L Glanville is located at 3200 E Racine St, Janesville, WI 535462343.
What is Kristopher L Glanville's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kristopher L Glanville's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did Kristopher L Glanville receive its 1104825017 assignment from the Centers for Medicare & Medicaid Services?
The Kristopher L Glanville was assigned its 1104825017 on 2005-07-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kristopher L Glanville's details last updated?
The information pertaining to the Kristopher L Glanville, including its address, specialty, and other details, was most recently updated on 2020-12-18.