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Contact Information

LORI F GLASS, OD
2107 S. 11TH ST
NILES, MI49120
 Phone: 269-683-0878
 Fax: 269-683-0878
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for LORI F GLASS · (Female)

NPI # 1598845307
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/16/2006
Last updated 12/13/2016 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4901003558
  • MI Other PHARM REG5330000174 4901003558
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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