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

Dr. Glen D Nydam, OD

Individual provider Optometrist · NPI 1003887688

Dr. Glen D Nydam, OD is an Optometry in Mitchell, South Dakota. Graduated from Southern California College of Optometry in 1996, 30 years ago. Practices with Mabee Eye Clinic PC, a 3-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
30
Trained at
Southern California College of Optometry
Licensed in
SD
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

305 N Sanborn Blvd
Mitchell, SD 57301-2449
Phone: (605) 996-2537
Fax: (605) 996-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 542 (SD)

Record details

NPI number1003887688
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJanuary 31, 2006
Last updated in NPPESNovember 10, 2022
Certification dateNovember 10, 2022

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 1996 (30 years in practice)
Group practice Mabee Eye Clinic Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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