Provider Demographics
NPI:1508248329
Name:MENNER, ABIGAIL GLENNA (OD, FAAO)
Entity Type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:GLENNA
Last Name:MENNER
Suffix:
Gender:F
Credentials:OD, FAAO
Other - Prefix:DR
Other - First Name:ABIGAIL
Other - Middle Name:GLENNA
Other - Last Name:GRAEFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD, FAAO
Mailing Address - Street 1:338 W 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1280
Mailing Address - Country:US
Mailing Address - Phone:614-292-2020
Mailing Address - Fax:
Practice Address - Street 1:338 W 10TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1280
Practice Address - Country:US
Practice Address - Phone:614-292-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-29
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6376152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist