Provider Demographics
NPI:1508828666
Name:CORBIN, GLENN S (OD)
Entity Type:Individual
Prefix:DR
First Name:GLENN
Middle Name:S
Last Name:CORBIN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:50 BERKSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1219
Mailing Address - Country:US
Mailing Address - Phone:610-374-3134
Mailing Address - Fax:610-374-0484
Practice Address - Street 1:50 BERKSHIRE CT
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1219
Practice Address - Country:US
Practice Address - Phone:610-374-3134
Practice Address - Fax:610-374-0484
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG00004152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01806401OtherCAPITAL BLUE CROSS ID
PA2144950OtherUNITED HEALTHCARE
PA232211591OtherBERKSHIRE HEALTH PARTNER
PA29435/29436OtherSPECTERA
PA54384002OtherDAVIS AFFINITY
PAOEG000040OtherHUMANA
PA0020591000OtherINDEPENDENCE PERSONAL CHOICE
PA01806401OtherKEYSTONE/SENIOR BLUE ID
PA2206957OtherSECURE HORIZON
PAOEG000040OtherLOOMIS
PA385702OtherHEALTHAMERICA/HEALTHASSURANCE
PA426448OtherHIGHMARK BLUE SHIELD ID
PA0020591000OtherAMERIHEALTH PROVIDER ID
PA01806401OtherCAPITAL BLUE CROSS/KHPC
PANON PAROtherNVA
PAOEG000040OtherCORESOURCE
PA1508828666OtherVSP/VISION SERVICE PLAN
PA20861OtherGEISINGER
PA410023367OtherMEDICARE RAILROAD
PA4589194OtherCIGNA
PA01806401OtherCAPITAL BLUE CROSS/SB/SB PPO/HMO
PA4356895OtherAETNA
PANON PAROtherDAVIS VISION
PAOEG000040OtherDEVON
PAPA05925OtherVBA/VISION BENEFITS OF AMERICA
PA0020591000OtherKEYSTONE EAST ID
PA0020591000OtherINDEPENDENCE BC/BS
PA01806401OtherCAPITAL BLUE CROSS/POS/PPO/TRADITIONAL
PA01806401OtherKEYSTONE/CBC
PA426448OtherHIGHMARK/CLASSIC/PPO/PPO BLUE/HMO
PA4356895OtherAETNA TRADITIONAL/PPO
PA4356895OtherAETNA/HMO
PA2206957OtherSECURE HORIZON
PAOEG000040OtherLOOMIS
PA0966540001Medicare NSC