DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. SUSAN MARIE GLAD O.D.

MEDICARE: DR. SUSAN MARIE GLAD O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist2319ATIOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1059337000OTHERORREGENCE BLUE CROSS BLUE S

General Provider Information

NPI Number : 1073694253
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN MARIE GLAD O.D.
Provider Business Mailing Address
First Line : 140 SW POPLAR ST
Second Line :
City : YAMHILL
State : OR
Zip : 97148-8046
Country : US
Telephone Number : 503-434-1140
Fax Number :
Provider Business Practice Location Address
First Line : 2375 NORTH HIGHWAY 99W
Second Line :
City : MCMINNVILLE
State : OR
Zip : 97128
Country : US
Telephone Number : 503-434-1140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 09/21/2010

Similar Medicare Providers

1215869458 — MS. RACHEL J WALLACE
Practice Location Address:
609 NE BAKER ST STE 110
MCMINNVILLE, OR
97128-4946
Practice Phone: 971-599-8590
Practice Fax:
1861566259 — VIRGINIA GARCIA MEMORIAL HEALTH CENTER
Practice Location Address:
115 NE MAY LN
MCMINNVILLE, OR
97128-9272
Practice Phone: 503-883-5878
Practice Fax: 503-883-0008
1548937337 — FIR COUNSELING, LLC
Practice Location Address:
609 NE BAKER ST STE 260
MCMINNVILLE, OR
97128-4950
Practice Phone: 971-248-5367
Practice Fax:
1427558865 — JENNIFER POND LPC
Practice Location Address:
609 NE BAKER ST STE 260
MCMINNVILLE, OR
97128-4950
Practice Phone: 971-213-5025
Practice Fax: 971-228-5431
1629522933 — BETHANY GOULD LCSW
Practice Location Address:
609 NE BAKER ST STE 260
MCMINNVILLE, OR
97128-4950
Practice Phone: 971-213-5025
Practice Fax:
1174982938 — MRS. DEBORAH L DAVIS LPC
Practice Location Address:
609 NE BAKER ST STE 260
MCMINNVILLE, OR
97128-4950
Practice Phone: 971-213-5025
Practice Fax: 971-228-5431
1477848083 — MICHELE MARIE CRAWLEY-WITHEE MS, LPC, NCC, CADC I
Practice Location Address:
609 NE BAKER ST STE 260
MCMINNVILLE, OR
97128-4950
Practice Phone: 971-213-5025
Practice Fax: 971-228-5431

Directions to “ DR. SUSAN MARIE GLAD O.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.