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Contact Information

SUSAN M GLAD, OD
2375 NORTH HIGHWAY 99W
MCMINNVILLE, OR97128
 Phone: 503-434-1140
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SUSAN M GLAD · (Female)

NPI # 1073694253
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/17/2006
Last updated 09/21/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 2319ATI
  • OR Other 059337000 REGENCE BLUE CROSS BLUE S
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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