Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Elwood Glenn Likens, OD

Individual provider Optometrist · NPI 1558314120

Dr. Elwood Glenn Likens, OD is an Optometry in Jacksonville, North Carolina. Graduated from University of Alabama School of Dentistry in 1994, 32 years ago. Practices with Risk Optometric Associates, PA, a 7-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
32
Trained at
University of Alabama School of Dentistry
Licensed in
NC
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

4130 Western Blvd
Jacksonville, NC 28546-6740
Phone: (910) 353-9200
Fax: (910) 353-5459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1550 (NC)

Record details

NPI number1558314120
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 18, 2006
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF DENTISTRY
Graduated 1994 (32 years in practice)
Group practice Risk Optometric Associates, Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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