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Deactivated NPI 1124015151 Deactivated / Inactive NPI Male Practitioner

Dr. Glenn Elwyn Partin , OD

Optometrist • Mustang, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Glenn Partin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 04, 2005
NPI Deactivation Date June 14, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Glenn Partin, OD was a registered Optometrist practicing in Mustang, OK. Throughout an active medical career spanning 18 years, Dr. Partin provided care at the practice location at 1100 N MUSTANG RD until profile deactivation on 2023-06-14.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, removal of cataract with insertion of lens. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1100 N Mustang Rd

Mustang, OK 730647200

Telephone 4053769779
Fax 4053769668
Associated Practice Facility / Clinic
🏢 Glenn E. Partin Od Pc Facility NPI 1053598391

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Mustang, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.5 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
6 Specialists

Practicing in Mustang, OK (943 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
8.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
40 40 $136.00 $119.65
99213 Established patient office or other outpatient visit, typically 15 minutes
26 26 $75.00 $74.24

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OK 1092

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1023000114

Doctor of Dental Surgery

NPI 1235729799

Doctor of Chiropractic

Diann Burris , MS, CCC-SLP

Speech-Language Pathologist

NPI 1538582705

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1780960773

Doctor of Chiropractic

NPI 1912989377

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 14, 2023

Record deactivated on June 14, 2023

NPI Profile Active January 14, 2008

NPI status registered as active in NPPES database

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Updated Practice Location January 14, 2008

Registered at 1100 N MUSTANG RD, MUSTANG, OK 730647200 (Tel: 4053769779)

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Updated Business Mailing Address January 14, 2008

Registered at 1100 N MUSTANG RD, MUSTANG, OK 730647200 (Tel: 4053769779)

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Provider Name / Credentials Updated January 14, 2008

Recorded as GLENN PARTIN, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2008

Optometrist (License #1092 in OK)

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Initial NPI Registration & Enumeration October 04, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124015151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2005
Last Update: January 14, 2008
Deactivation Date: June 14, 2023

Mailing Address

1100 N Mustang Rd

Mustang, OK 730647200

Phone: 4053769779

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.