Upton, Donald Glyn

Upton, Donald Glyn is an sole proprietor health care provider with primary practice located at 110A Alabama St , Columbus MS 39702-5221. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Upton, Donald Glyn can be contacted via phone (662) 329-1233.

Contact Information

Primary practice address
110A Alabama St Columbus MS 39702-5221
Fax: (662) 329-1255
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 496 Mississippi

Profile Details

NPI number 1962545608
LBN Legal business name Upton, Donald Glyn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Apr 2nd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962545608 NPPES
Mississippi MEDICAID 0087920

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