Lojka, Glen Brian

Lojka, Glen Brian is an individual health care provider with primary practice located at 194 Clarkson Rd , Ellisville MO 63011-2244. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lojka, Glen Brian can be contacted via phone (636) 227-2020.

Contact Information

Primary practice address
194 Clarkson Rd Ellisville MO 63011-2244
Phone: (636) 227-2020
Fax: (636) 227-9968
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2000170624 Missouri

Profile Details

NPI number 1912903907
LBN Legal business name Lojka, Glen Brian
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Dec 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912903907 NPPES
Missouri Other 41047797 RAILROAD MEDICARE
Missouri MEDICAID 315949800 RAILROAD MEDICARE

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