GORDON GLEN MCLAIN O.D. NPI 1932294410

NPI Information

NPI: 1932294410
Provider Name: GORDON GLEN MCLAIN, O.D.
Classification: Optometrist - 152WV0400X
Entity Type: Individual

Specialization: Vision Therapy

Address:
3322 AVE I
SCOTTSBLUFF, NE
ZIP 69361
Phone: (308) 220-4646
Get Directions

Gordon Glen Mclain, O.D. is a vision therapy optometrist in Scottsbluff, NE. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. Gordon Glen Mclain, O.D. NPI is 1932294410. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3322 AVE I
SCOTTSBLUFF, NE
ZIP 69361
Phone: (308) 220-4646
Fax: (308) 220-4548

The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152WV0400X	Optometrist	Vision Therapy	851	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U09993	MEDICARE UPIN	NEBRASKA
2	10025-0512.00	MEDICAID	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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