HOYT GLAZE (NPI# 1184744997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184744997 |
| Entity Type | Individual |
| Full Name | HOYT GLAZE |
| Credential | LDO |
| Practice Address |
653 Cherokee St Marietta GA 30060 |
| Mailing Address |
5245 Lockwood Ln Powder Springs GA 30127-4915 |
| Practice Telephone | 7704191393 |
| Practice Fax Number | 7704198188 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
LDO000497 | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE NSC | 1156400001 | 01 |
| GA | VISION SERVICE PLAN | 7704191393 | 01 |
| GA | CIGNA GOVERNMENT SERVICES | 1156400001 | 01 |
| GA | VISION CARE PLAN | 1348A | 01 |
| GA | EYEMED | GA0497 | 01 |
| Street Address |
653 CHEROKEE ST |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619121837 | America's Best Contacts & Eyeglasses | Technician/Technologist | 50 Ernest W. Barrett Pkwy, Ste. 1500, Marietta, GA 30066 | 2008-11-14 |
| 1225204522 | Michele Diane Lee | Technician/Technologist | 935a Jamerson Rd, Marietta, GA 30066-1097 | 2008-05-06 |
| 1063538981 | Mark T Bauer | Technician/Technologist | 206 Putnam St, Ste102, Marietta, OH 45750-3042 | 2007-03-22 |
| 1861576951 | Wal-mart Stores East, Lp | Technician/Technologist | 6520 Ernest W Barrett Pkwy Sw, Marietta, GA 30064-4571 | 2006-10-25 |
| 1134203730 | Wal-mart Stores East, Lp | Technician/Technologist | 2795 Chastain Meadows Pkwy, Marietta, GA 30066-3361 | 2006-10-24 |
| 1750464681 | Wal-mart Stores East, Lp | Technician/Technologist | 3100 Johnson Ferry Rd, Marietta, GA 30062-5657 | 2006-10-23 |
| 1538241963 | Wal-mart Stores East, Lp | Technician/Technologist | 210 Cobb Pkwy S, Marietta, GA 30060-6509 | 2006-10-19 |
| 1346321718 | Wal-mart Stores East, Lp | Technician/Technologist | 1785 Cobb Pkwy S, Marietta, GA 30060-9288 | 2006-10-18 |
| 1902991029 | Sam's Club Optical | Technician/Technologist | 150 Cobb Pkwy S, Marietta, GA 30060-9209 | 2006-10-04 |
| 1407869290 | Wal-mart Stores East, Lp | Technician/Technologist | 804 Pike St, Marietta, OH 45750-3503 | 2006-08-14 |
| Find all providers in MARIETTA | ||||
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| 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.