Glenn R Londos
Optometrist Occupational Vision Pediatric Optomitrist Optomitrist - Low Vision Rehabilitation and 1 more
1103 E 31st St
La Grange Park
, Illinois 60526-1280
Glenn R Londos
Optometrist Occupational Vision Pediatric Optomitrist Optomitrist - Low Vision Rehabilitation and 1 more
1103 E 31st St
La Grange Park
, Illinois 60526-1280
(708) 771-5537
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About
Features
Specialties
- Optometrist
- Optomitrist - Corneal and Contact Lenses
- Optomitrist - Low Vision Rehabilitation
- Pediatric Optomitrist
- Occupational Vision
Languages spoken
- English
Location
First Address
- Glenn R Londos
- 1234 Lathrop Ave
- River Forest, IL
- Zip : 60305-1116
- Phone : (708) 771-5537
Second Address
- Glenn R Londos
- 1103 E 31st St
- La Grange Park, IL
- Zip : 60526-1280
- Phone : (708) 588-1781
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046007566 | IL |
| N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 046007566 | IL |
| N | 152WL0500X | Optomitrist - Low Vision Rehabilitation | 046007566 | IL |
| N | 152WP0200X | Pediatric Optomitrist | 046007566 | IL |
| N | 152WX0102X | Occupational Vision | 046007566 | IL |
National Provider Identifier
| NPI | 1295791622 |
|---|---|
| Provider Name | Glenn R Londos |
| First Address | River Forest, IL 60305-1116 |
| Second Address | La Grange Park, IL 60526-1280 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2006 |
| Last Update Date | 27/09/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 046007566 | (05) | IL |
| 1684555 | BLUE CROSS BLUE SHIELD (01) | IL |
| 195546334402 | HUMANA (01) | IL |
| T-38120 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.