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Contact Information

JASON GLENN, OD
124 TOWNE CENTER DRIVE
#116
LEXINGTON, KY40511
 Phone: 859-552-7403
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JASON GLENN · (Male)

NPI Number 1407995848
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 02/05/2007
Last updated 01/16/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 1685DT
  • KY Medicaid 7100030660
  • KY Other 000000510977 ANTHEM BCBS
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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