Mark D Glenn Valid NPI
Individual provider · Optician · Summerville, SC
- NPI
- 1902537376
- Type
- Individual (Type 1)
- Primary specialty
- Optician (Technician/Technologist)
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 156FX1800X
- License number
- 1324 (SC)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2022-06-17
- Last updated
- 2022-06-17
Practice location
1317 N Main St
Summerville, SC 29483-7342
(843) 821-4338