Glenn R Londos, OD is a medicare enrolled "Optometrist" provider in La Grange Park, Illinois. His current practice location is
1103 E 31st St, La Grange Park, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 588-1781.
Glenn R Londos is licensed to practice in Illinois (license number 046007566) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295791622.
Healthcare Provider's Profile
| Full Name | Glenn R Londos |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 1103 E 31st St, La Grange Park, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295791622
- Provider Enumeration Date: 04/25/2006
- Last Update Date: 09/27/2010
Medicare PECOS Information:
- PECOS PAC ID: 0749474252
- Enrollment ID: I20101028001052
Medical Identifiers
Medical identifiers for Glenn R Londos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1295791622 | NPI | - | NPPES |
| 1684555 | Other | IL | BLUE CROSS BLUE SHIELD |
| 046007566 | Medicaid | IL | |
| 195546334402 | Other | IL | HUMANA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | 046007566 (Illinois) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 046007566 (Illinois) | Secondary |
| 152WL0500X | Optometrist - Low Vision Rehabilitation | 046007566 (Illinois) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | 046007566 (Illinois) | Secondary |
| 152WX0102X | Optometrist - Occupational Vision | 046007566 (Illinois) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Glenn R Londos is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Glenn R Londos, OD 1234 Lathrop Ave, River Forest, IL 60305-1116 Ph: (708) 771-5537 | Glenn R Londos, OD 1103 E 31st St, La Grange Park, IL 60526-1280 Ph: (708) 588-1781 |
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