Glenn F Oelker, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G49598 Issued in CA

Practice address

689 Tank Farm Rd
Suite 100
San Luis Obispo, CA 93401-7077

Phone

(805) 781-3937

Fax

(805) 781-9013

NPI assigned

Aug 4, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• San Luis Obispo Eye Associates, a Medical Group Inc

  • Ophthalmology Physician
  • Templeton, CA
  • NPI 1366409898
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1871501783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 HEATHER CT",
            "address_2": "SUITE 102",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934658765",
            "telephone_number": "805-434-5970",
            "fax_number": "805-434-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 TANK FARM RD",
            "address_2": "SUITE 100",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017077",
            "telephone_number": "805-781-3937",
            "fax_number": "805-781-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OELKER",
        "first_name": "GLENN",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G49598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G495980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clare O'Sullivan
• Michael O'Toole
• Trista Elizabeth Ochoa
• Shannon L Odenthal
• Patricia M. Odum, N.P.
• Stephanie Oh, OD
• Mary Okimoto, NP
• Michael Olado
• Jonathan Andrew Olcott, L.AC
• Joseph B Oldenburg, M.D.

• Ophthalmology Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.