| Dr Glenn D Green, OD | |
|
3882 N Foxtail Rd, Post Falls, ID 83854-0264 | |
| (360) 739-6887 | |
| (208) 457-7008 |
| Full Name | Dr Glenn D Green |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 3882 N Foxtail Rd, Post Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598742827 | NPI | - | NPPES |
| 03118 | Other | WA | REGENCE OF WA |
| 0078676 | Other | WA | DEPT OF LABOR & INDUSTRIE |
| 2022267 | Medicaid | WA | |
| 410040896 | Other | WA | RAILROAD MEDICARE |
| 431510001 | Other | WA | GROUP HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OD00001910 (Washington) | Secondary |
| 152W00000X | Optometrist | ODP-100616 (Idaho) | Primary |
| Provider Name | Whatcom Vision Clinics Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407804552 PECOS PAC ID: 7618866732 Enrollment ID: O20040315000841 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glenn D Green, OD 3882 N Foxtail Rd, Post Falls, ID 83854-0264 Ph: (360) 739-6887 | Dr Glenn D Green, OD 3882 N Foxtail Rd, Post Falls, ID 83854-0264 Ph: (360) 739-6887 |
Dr. Joseph Jerome Mcginnis, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3050 E Mullan Ave, Post Falls, ID 83854 Phone: 208-777-0142 | |
Eye Exam Near Me Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3050 E Mullan Ave, Post Falls, ID 83854 Phone: 208-762-8802 Fax: 208-762-8802 | |
Post Falls Optometric Physicians Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 185 W 4th Ave, Ste A, Post Falls, ID 83854 Phone: 208-773-7434 Fax: 208-777-0836 | |
Dr. Sarah Marossy Hemmingson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 185 W 4th Ave, Suite A, Post Falls, ID 83854 Phone: 208-773-7434 Fax: 208-777-0836 | |
Joseph J Mcginnis Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3050 E Mullan Ave, Post Falls, ID 83854 Phone: 208-777-0142 Fax: 208-777-0353 | |
Mobile Vision Consultants, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 784 S Clearwater Loop Ste R, Post Falls, ID 83854 Phone: 775-375-8869 |