DR. ELWOOD GLENN LIKENS O.D NPI 1558314120

NPI Information

NPI: 1558314120
Provider Name: DR. ELWOOD GLENN LIKENS, O.D
Classification: Optometrist - 152W00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 2025 N MARINE BLVD
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 937-1297

Map and Directions

Get Directions

NPI Details

DR. Elwood Glenn Likens, O.D is an optometrist in Jacksonville, NC with 31 years of experience. The provider is 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. DR. Elwood Glenn Likens, O.D NPI is 1558314120. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF DENTISTRY
Graduation Year:1994

The provider's business location address is:

2025 N MARINE BLVD
JACKSONVILLE, NC
ZIP 28546-920
Phone: (910) 937-1297
Fax: (910) 937-1296

The NPI 1558314120 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

New patient complete exam of visual system (HCPCS:92004)
Established patient complete exam of visual system (HCPCS:92014)

The enumeration date for this NPI number is 5/18/2006 and was last updated on 8/11/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152W00000X	Optometrist		1550	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	890903R	MEDICAID	NORTH CAROLINA
2	U51048	MEDICARE UPIN	NORTH CAROLINA
3	2323503	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI