| Gle Glenwood Llc | |
|
406 1st St, Glenwood, IA 51534-1706 | |
| (712) 527-4468 | |
| (712) 527-9458 |
| Full Name | Gle Glenwood Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 406 1st St, Glenwood, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821709957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jacque D Young |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174503734 PECOS PAC ID: 0749246056 Enrollment ID: I20041208000846 |
| Provider Name | Dara Lee Latner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912564022 PECOS PAC ID: 2567795776 Enrollment ID: I20190709002900 |
| Provider Name | Travis P Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720464878 PECOS PAC ID: 4183930308 Enrollment ID: I20220318000211 |
| Provider Name | Kyle D Klute |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235556804 PECOS PAC ID: 6901022813 Enrollment ID: I20230131002022 |
| Mailing Address | Practice Location Address |
|---|---|
| Gle Glenwood Llc Po Box 188, Glenwood, IA 51534-0188 Ph: (712) 527-4468 | Gle Glenwood Llc 406 1st St, Glenwood, IA 51534-1706 Ph: (712) 527-4468 |
Dr. Matthew A Schekirke, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 406 1st Street, Glenwood, IA 51534 Phone: 712-527-4468 Fax: 712-527-9458 | |
Jacque Diane Young, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 406 1st St, Glenwood, IA 51534 Phone: 712-527-4468 Fax: 712-527-9458 | |
Elwood M Young Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 406 1st St, Glenwood, IA 51534 Phone: 712-527-4468 Fax: 712-527-9458 | |
Dara Latner, OD Optometrist Medicare: Medicare Enrolled Practice Location: 406 1st St, Glenwood, IA 51534 Phone: 712-527-4468 Fax: 712-527-9458 |