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Contact Information

GLEN A LINSLEY, OD
109 E MAPLE ST
MASON, MI48854
 Phone: 517-676-4499
 Fax: 517-676-3221
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for GLEN A LINSLEY · (Male)

NPI # 1497836266
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/18/2006
Last updated 07/23/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4901002568
  • MI Medicaid 945050168
  • MI Other 0C36542 BLUE CROSS BLUE SHIELD OF MICHIGAN
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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