Lisa Eileen Glenn, OD - Optometrist in Pinedale, WY

Lisa Eileen Glenn, OD is a Optometrist based in Pinedale, Wyoming. Lisa Eileen Glenn is licensed to practice in Wyoming (license number 236T) and her current practice location is 376 N. Sublette, Pinedale, Wyoming. She can be reached at her office (for appointments etc.) via phone at (307) 367-2727.

NPI number for Lisa Eileen Glenn is 1487796330 and her current mailing address is 376 N. Sublette, Po Box 907, Pinedale, Wyoming. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487796330.

Contact Information

Lisa Eileen Glenn, OD
376 N. Sublette,
Pinedale, WY 82941
(307) 367-2727
Not Available



Healthcare Provider's Profile

Full NameLisa Eileen Glenn
GenderFemale
SpecialityOptometrist
Location376 N. Sublette, Pinedale, Wyoming
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487796330
  • Provider Enumeration Date: 02/13/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Lisa Eileen Glenn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487796330NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 236T (Wyoming)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Eileen Glenn is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Eileen Glenn, OD
376 N. Sublette, Po Box 907,
Pinedale, WY 82941

Ph: (307) 367-2727
Lisa Eileen Glenn, OD
376 N. Sublette,
Pinedale, WY 82941

Ph: (307) 367-2727

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› Verified 4 days ago


Optometrist in Pinedale, WY

Clear Creek Vision Care, P.c.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 376 N. Sublette, Pinedale, WY 82941
Phone: 307-367-2727    Fax: 307-367-2727

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