Glenn Reams Ocularist Inc in Waterloo - Prosthetic/orthotic Supplier
Glenn Reams Ocularist Inc - NPI 1679628465
Glenn Reams Ocularist Inc is a Prosthetic/orthotic Supplier in Waterloo, Illinois. Glenn Reams Ocularist Inc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Glenn Reams Ocularist Inc is 1679628465. The last update date is 2023-01-18.
Glenn Reams Ocularist Inc's current location address is 407 Park St, Waterloo, Illinois. You can contact this provider via phone number 6189397577 and fax number 6189397862. The mailing address for Glenn Reams Ocularist Inc is 407 Park St, Waterloo, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Glenn Reams Ocularist Inc |
|---|---|
| Address | 407 Park St, Waterloo, Illinois |
| Phone Number | 6189397577 |
| Fax Number | 6189397862 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Reams Glenn |
| Telephone Number | 6189397577 |
NPI Number Detail
| NPI Number | 1679628465 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2023-01-18 |
Provider Mailing Address Detail
| Address | 407 Park St |
|---|---|
| City | Waterloo |
| State | Illinois (IL) |
| Post Code | 622981309 |
| Phone Number | 6189397577 |
| Fax Number | 6189397862 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
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Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
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What is the unique identification code assigned to Glenn Reams Ocularist Inc by the Centers for Medicare & Medicaid Services?
The Glenn Reams Ocularist Inc has been issued the NPI (National Provider Identifier) 1679628465. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Glenn Reams Ocularist Inc is physically located?
The Glenn Reams Ocularist Inc is situated at the following address: 407 Park St, Waterloo, IL 622981309.
What is Glenn Reams Ocularist Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Glenn Reams Ocularist Inc is Prosthetic/orthotic Supplier, and the corresponding taxonomy classification code for this specialized field is 335E00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1679628465 to Glenn Reams Ocularist Inc?
The Centers for Medicare & Medicaid Services assigned the 1679628465 to Glenn Reams Ocularist Inc on 2007-01-24.
As of what date were the Glenn Reams Ocularist Inc's details last updated?
The information pertaining to the Glenn Reams Ocularist Inc, including its address, specialty, and other details, was most recently updated on 2023-01-18.
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