DR. GLENNA ANNE WAITT


Address: Bjs Optical, Glenna Waitt Od, Plymouth, MA 02360
Phone: 5087320420

DR. GLENNA ANNE WAITT (NPI# 1073654802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073654802
Entity Type Individual
Full Name DR. GLENNA ANNE WAITT
Credential O.D.
Practice Address Bjs Optical
Glenna Waitt Od
Plymouth
MA 02360
Mailing Address 74 Surf Ave
Marshfield
MA 02050-6746
Practice Telephone 5087320420
Mailing Telephone 7818342235
Enumeration Date 2007-02-12
Last Update Date 2020-08-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 2957 MA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA STATE LICENSE 2957 01

Office Location

Street Address BJS OPTICAL
GLENNA WAITT OD
City PLYMOUTH
State MA
Zip Code 02360

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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669998969 Ryan Christopher Racette Optometrist 212 S Meadow Rd Unit 5c, Plymouth, MA 02360-5450 2017-08-17
1013442094 Robert Ray Baltierra Optometrist 44429 Ann Arbor Rd W, Plymouth, MI 48170-3907 2017-04-27
1568779643 Hooligan Adventures Optometrist 3185 Fernbrook Ln N, Plymouth, MN 55447-5320 2010-09-09
1235461708 Full Sail Partners, LLC Optometrist 215 N Michigan St, Plymouth, IN 46563-2134 2010-02-08
1982895439 Tate Herman Optometrist 16875 County Road 24, Ste.301, Plymouth, MN 55447-1290 2007-08-08
1164637591 Francis J Aprea Od,pc Optometrist 22 Chilton St, Plymouth, MA 02360-3804 2007-05-11
1801921408 Dennis M Picard Optometrist 670 S Main St, Plymouth, MI 48170-1711 2007-02-22
1427198126 Glenn Young Optometrist 550 Forest Ave Ste 12, Plymouth, MI 48170-1769 2007-02-08
1902943822 Plymouth Vision Center, Inc. Optometrist 16725 Cty Rd 24, Plymouth, MN 55447 2007-01-31
1366508293 Bradley J Wicklund Optometrist 100 Carr Rd, Plymouth, WI 53073-9500 2006-12-28
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Competitor

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City PLYMOUTH
Zip Code 02360

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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