Okner, Glenn John

Okner, Glenn John is an individual health care provider with primary practice located at 8325 Seasons Pkwy , Woodbury MN 55125-3477. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Okner, Glenn John can be contacted via phone (651) 702-5868.

Contact Information

Primary practice address
8325 Seasons Pkwy Woodbury MN 55125-3477
Fax: (651) 702-5870
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2004 Minnesota

Profile Details

NPI number 1982675393
LBN Legal business name Okner, Glenn John
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Apr 1st, 2021 - about 3 years ago

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 1982675393 NPPES
Minnesota MEDICAID 431325900

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