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Deactivated NPI 1285859801 Deactivated / Inactive NPI Male Practitioner

Glenn L Wilson , OPTICIAN

Technician/Technologist - Optician • Mesquite, TX

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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, Glenn Wilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 17, 2007
NPI Deactivation Date May 22, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Glenn Wilson, OPTICIAN was a registered Technician/Technologist - Optician practicing in Mesquite, TX. Throughout an active medical career spanning 17 years, Glenn Wilson provided care at the practice location at 120 W MAIN ST until profile deactivation on 2024-05-22.

Practice Location & Contact Primary Location

Practice Address

120 W Main St
Suite 210

Mesquite, TX 751494264

Telephone 9722859896
Fax 9723291005
Associated Practice Facility / Clinic
🏢 Sharon Kirven Md Pa Facility NPI 1073569356

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in Mesquite, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Mesquite, TX (311 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

State License TX DR0427

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Heidy Hernandez

Community Health Worker

NPI 1245007012
Derek Anderson , LPC

Counselor - Professional

NPI 1477181006

Licensed Professional Counselor

Vicky Johnson

Community Health Worker

NPI 1609569961
Brittani Blankenship

Community Health Worker

NPI 1740054980
Lomaia Rockwell

Social Worker

NPI 1780105585
Myesha Dixon

Social Worker

NPI 1982067567

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 May 22, 2024

Record deactivated on May 22, 2024

NPI Profile Active January 02, 2008

NPI status registered as active in NPPES database

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Updated Practice Location January 02, 2008

Registered at 120 W MAIN ST, SUITE 210, MESQUITE, TX 751494264 (Tel: 9722859896)

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Updated Business Mailing Address January 02, 2008

Registered at 120 W MAIN ST, SUITE 210, MESQUITE, TX 751494264 (Tel: 9722859896)

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Provider Name / Credentials Updated January 02, 2008

Recorded as GLENN WILSON, OPTICIAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2008

Technician/Technologist (License #DR0427 in TX)

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Initial NPI Registration & Enumeration April 17, 2007

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: 1285859801
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2007
Last Update: January 02, 2008
Deactivation Date: May 22, 2024

Mailing Address

120 W Main St, Suite 210

Mesquite, TX 751494264

Phone: 9722859896

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.