Glenn A Courtney, OPTICIAN ABOC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

N/A Issued in DE

Practice address

625 S Dupont Hwy
Dover, DE 19901-4504

Phone

(302) 678-3200

Fax

(302) 678-5914

NPI assigned

Mar 19, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1083885859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 S DUPONT HWY",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631757",
            "telephone_number": "302-422-2800",
            "fax_number": "302-422-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S DUPONT HWY",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014504",
            "telephone_number": "302-678-3200",
            "fax_number": "302-678-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "GLENN",
        "middle_name": "A",
        "credential": "OPTICIAN ABOC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "DE",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Dover, DE
• Providers in Dover, DE by specialty
• Optician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.