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Dr. Glenn Carl Brewer, O.D.

Optometrist in Lexington, NC. Individual provider (NPI-1).

NPI number1487935151
StatusActive
Last updated in NPPESAug 24, 2018

Details

NPI
1487935151
Entity type
Individual (NPI-1)
Name
Dr. Glenn Carl Brewer
Credential
O.D.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 7, 2011
Last updated
Aug 24, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist2232NCYes
152W00000X Optometrist27OA00633600NJ

Practice location

202 W Center St
Lexington, NC 27292

Phone 336-477-2295

Mailing address

202 W Center St
Lexington, NC 27292-3012

Phone 336-398-3993

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