person
Hoyt Glaze, LDO
Optician in Marietta, Georgia
NPI 1184744997

Hoyt Glaze is a Optician based in Powder Springs, GA and is specialized in Optician. Hoyt Glaze practices in Marietta, GA and has the professional credentials of LDO. The NPI Number for Hoyt Glaze is 1184744997 and holds a License No. LDO000497 (Georgia).

The current practice location address for Hoyt Glaze is 653 Cherokee St, Marietta, GA and can be reached out via phone at 770-419-1393 and via fax at 770-419-8188.

Location: 653 Cherokee St, Marietta, GA, 30127-4915
person
Provider Profile Details
NPI Number
1184744997
Provider Name
Hoyt Glaze
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
653 Cherokee St, Marietta, GA, 30127-4915
Phone Number
770-419-1393
Fax Number
770-419-8188
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1156400001 01 GA MEDICARE NSC
1348A 01 GA VISION CARE PLAN
1156400001 01 GA CIGNA GOVERNMENT SERVICES
7704191393 01 GA VISION SERVICE PLAN
GA0497 01 GA EYEMED
institution
Provider Business Practice Location Address Details
Address
653 Cherokee St
City
State
Zip
30060
Phone Number
770-419-1393
Fax Number
770-419-8188
person
Provider Business Mailing Address Details
Address
653 Cherokee St
City
State
Zip
30060
Phone Number
770-419-1393
Fax Number
770-419-8188
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
LDO000497 (Georgia)
Definition
Definition to come...
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