MR. GLEN AQUILLA REELY OPTICIAN NPI 1831268143

NPI Information

NPI: 1831268143
Provider Name: MR. GLEN AQUILLA REELY, OPTICIAN
Classification: Technician/Technologist - 156FX1800X
Entity Type: Individual

Specialization: Optician

Address:
110 S NORTH ST
SEAFORD, DE
ZIP 19973
Phone: (302) 629-0278
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MR. Glen Aquilla Reely, OPTICIAN is an optician technician technologist in Seaford, DE. MR. Glen Aquilla Reely, OPTICIAN NPI is 1831268143. 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:

110 S NORTH ST
SEAFORD, DE
ZIP 19973
Phone: (302) 629-0278
Fax: (302) 629-0278

The enumeration date for this NPI number is 11/8/2006 and was last updated on 7/8/2007.

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	156FX1800X	Technician/Technologist	Optician			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	0268700001	MEDICARE ID-TYPE UNSPECIFIED

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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