Marshall R Gleckler OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MARSHALL R GLECKLER OD PLLC

Practice address

100 E 45TH St
Shawnee, OK 74804-1439

Phone

(405) 275-7676

Fax

(405) 275-6837

NPI assigned

Sep 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Marshall Gleckler

Title

Owner

Phone

(405) 275-7676

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Britton Adams, OD

  • Optometrist
  • Shawnee, OK
  • NPI 1447737960
  NPD (past)
• Trevor C Conklin, O.D.

  • Optometrist
  • Oklahoma City, OK
  • NPI 1649558321
  NPD (past)
• Kyle Karnish, O.D.

  • Optometrist
  • Tecumseh, OK
  • NPI 1912285750
  NPD (past)
• Travis Ryan Kliewer, O.D.

  • Optometrist
  • Shawnee, OK
  • NPI 1629324595
  NPD (past)
• Brianna Weber, OD

  • Optometrist
  • Shawnee, OK
  • NPI 1326622036
  NPD (past)

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1811246085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 45TH ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 45TH ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041439",
            "telephone_number": "405-275-7676",
            "fax_number": "405-275-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL R GLECKLER OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-04",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "GLECKLER",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-275-7676",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100761410A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Drew Marchant
• Crystal Marcum, APRN
• Jacie Marcum
• Cassidy Marsh
• Stacey Marsh, LPC
• Juanita Pearl Marshall, LPC CANDIDATE
• Candida Martin, MS
• Carlynn Martin
• Kelly Martin
• Kelly Martin, PHARM.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.