DR. Glen R Owen, O.D.

NPI #1174613715 in Edmonds, Washington

Provider Information

NPI Number: 1174613715
Entity Type: Individual
Name: DR. Glen R Owen, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 13, 2006
Last Updated: Feb 28, 2012

Practice Location

Address: 7315 212TH ST SW
Address 2: STE 200
City: Edmonds
State: Washington
ZIP Code: 98026-7610
Phone: (425) 774-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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