Glen Brian Lojka, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2000170624 Issued in MO

Practice address

194 Clarkson Rd
Ellisville, MO 63011-2244

Phone

(636) 227-2020

Fax

(636) 227-9968

NPI assigned

Jun 23, 2005

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 2

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• DRS Price Young Odle & Horsch PA

  • Optometrist
  • Manhattan, KS
  • NPI 1396713574
  Medicare reassignment NPD
• Clarkson Optometry, Inc

  • Optometrist
  • Ellisville, MO
  • NPI 1497155345
  Medicare reassignment
• DRS Price Young Odle & Horsch PA

  • Optometrist
  • Topeka, KS
  • NPI 1164491189
  NPD
• DRS Price Young Odle & Horsch PA

  • Optometrist
  • Junction City, KS
  • NPI 1811965015
  NPD
• Frisco Eye Associates

  • Optometrist
  • Frisco, TX
  • NPI 1902852346
  NPD

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1912903907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207158",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207158",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 CLARKSON RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112244",
            "telephone_number": "636-227-2020",
            "fax_number": "636-227-9968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2404 Taylor Rd",
            "address_purpose": "LOCATION",
            "city": "Wildwood",
            "state": "MO",
            "postal_code": "63040",
            "country_code": "US",
            "telephone_number": "636-458-8787",
            "fax_number": "636-405-0629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1729 Clarkson Rd",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "63017",
            "country_code": "US",
            "telephone_number": "636-733-0090",
            "fax_number": "636-733-0028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17249 Chesterfield Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "63005",
            "country_code": "US",
            "telephone_number": "636-787-7000",
            "fax_number": "636-787-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOJKA",
        "first_name": "GLEN",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2000170624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "41047797",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315949800",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christen Lehmann, PHARM.D.
• David Leonard, DC
• Life Skills Foundation
• Bryan J Lind, PT
• Heather Little
• Longevity Care LLC
• Melissa Kay Lorber, O.D.
• Elizabeth Lucas, MD
• Linda Lui, PHARM.D.
• Spencer Augustus Lunnemann, PHARMD

• Optometrist in Ellisville, MO
• Providers in Ellisville, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.