Glenn E. Partin OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1092 Issued in OK

Legal business name

GLENN E. PARTIN OD PC

Practice address

1100 N Mustang Rd
Mustang, OK 73064-7201

Phone

(405) 376-9779

Fax

(405) 376-9668

NPI assigned

Jan 29, 2008

Last updated

Feb 23, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Glenn E Partin, O.D.

Title

Doctor/Owner

Phone

(405) 376-9779

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1053598391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N MUSTANG RD",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730647201",
            "telephone_number": "405-376-9779",
            "fax_number": "405-376-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N MUSTANG RD",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730647201",
            "telephone_number": "405-376-9779",
            "fax_number": "405-376-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN E. PARTIN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "PARTIN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "405-376-9779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100759930A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410048385",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgia Sigle, LPC, PC
• Gettings Better Health, PLLC
• Gettings Better Health, Shella M. Gettings Aprn, CNP, PLLC (Shella Gettings, APRN)
• Bo Gibbs
• Naciska Shantel Gilmore
• Matthew Goecke, DPT
• Lisa Gomez
• Maria Gomez
• Savanna Gooch
• William Graham Jr., B.A.

• Optometrist in Mustang, OK
• Providers in Mustang, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.