GLENN HOWARD HERMANN (NPI# 1093750317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093750317 |
| Entity Type | Individual |
| Full Name | GLENN HOWARD HERMANN |
| Credential | O.D. |
| Practice Address |
3416 Virginia Ave Suite #3 Collinsville VA 24078-2240 |
| Practice Telephone | 2767474488 |
| Practice Fax Number | 2766477569 |
| Mailing Telephone | 2767474488 |
| Mailing Fax Number | 2766477569 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2016-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0618000497 | VA | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
0618000497 | VA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | AETNA | 541741479 | 01 |
| VA | COLE | 910899 | 01 |
| VA | UNITED HEALTH CARE | 541741479 | 01 |
| VA | CIGNA HEALTHCARE | 9615238 | 01 |
| VA | ALL ALLIANCE PPO | 541741479 | 01 |
| VA | CONSECO HEALTH INSURANCE | 541741479 | 01 |
| VA | 541741479 | 05 | |
| VA | ACCORDIA NATIONAL | 541741479 | 01 |
| VA | MAIL HANDLERS BENEFIT | 541741479 | 01 |
| VA | 009231854 | 05 | |
| VA | CIGNA HEALTHCARE | 541741479 | 01 |
| VA | VISION WITH B/C B/S | 5674 | 01 |
| VA | BLUE CROSS BLUE SHIELD | 040437 | 01 |
| VA | COBINED INSURANCE CO OF A | 450168 | 01 |
| VA | CARILION HEALTH PLANS | 541741479 | 01 |
| VA | GAATEWAY/PRIMARY PHYSICAN | 541741479 | 01 |
| Street Address |
3416 VIRGINIA AVE SUITE #3 |
| City | COLLINSVILLE |
| State | VA |
| Zip Code | 24078-2240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603434 | Allyson C Dillard | Non-emergency Medical Transport (VAN) | 1998 Virginia Ave Suite A, Collinsville, VA 24078 | 2020-06-09 |
| 1366654808 | Pediatric Dental Care of Virginia | Dentist | 5126 King's Mountain Road, Collinsville, VA 24078 | 2007-05-04 |
| 1114054699 | John William Rhoday | Dentist | 4721 King's Mountain Road, Collinsville, VA 24078 | 2007-02-28 |
| 1205841939 | Denise J Unterbrink | Dentist | 2200 Daniels Creek Rd, Collinsville, VA 24078 | 2006-07-30 |
| 1861414062 | Stephen P Kieselbach | Chiropractor | 3408-1 Virginia Ave., Collinsville, VA 24078 | 2006-07-24 |
| 1114254877 | Julie Brown | Optometrist | 4244 Virginia Ave, Collinsville, VA 24078 | 2009-11-17 |
| 1548491293 | Shannon Marie Zollinger | Optometrist | 4244 Virginia Ave, Collinsville, VA 24078 | 2009-07-29 |
| 1871828756 | Family Preservation Services, Inc | Community/Behavioral Health | 15 Primary School Rd, Collinsville, VA 24078-1104 | 2009-10-09 |
| 1811546831 | Renita Mayhan | Licensed Practical Nurse | 200 Terrace Garden Dr, Collinsville, VA 24078-1134 | 2019-09-11 |
| 1720169378 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 4811 Kings Mountain Rd, Collinsville, VA 24078-1273 | 2006-10-18 |
| Find all providers in zip 24078 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144604604 | Dana Sue Rozell | Optometrist | 601 Belt Line Rd, Collinsville, IL 62234-4400 | 2015-07-15 |
| 1013283639 | 3f Vision LLC | Optometrist | 601 West Belt Line Road, Collinsville, IL 62234-4440 | 2012-03-28 |
| 1295884898 | Dr Thomas E Unterbrink Od PC | Optometrist | 2202 Daniel Creek Rd, Collinsville, VA 24078-1370 | 2007-01-10 |
| 1528153509 | Jeffrey P. Herberts | Optometrist | 119 N Morrison Ave, Collinsville, IL 62234-3226 | 2006-10-04 |
| 1326144684 | Thomas Edward Unterbrink | Optometrist | 2202 Daniels Creek Road, Collinsville, VA 24078-1370 | 2006-09-15 |
| 1669585535 | Walter Betton | Optometrist | 4244 Virginia Ave, Collinsville, VA 24078-1935 | 2006-08-16 |
| 1346258118 | Gary D Meier | Optometrist | 415 West Main Street, Ste 7, Collinsville, IL 62234-3043 | 2006-08-04 |
| 1518907765 | Leonard Duane Hart | Optometrist | 1103 W Center St, Collinsville, OK 74021-3108 | 2006-06-07 |
| 1760486096 | Julie B. Hendricks | Optometrist | 724 St. Louis Road, Collinsville, IL 62234-2032 | 2005-06-01 |
| 1699304469 | Collinsville Primary Eyecare | Optometrist | 1103 W Center St, Collinsville, OK 74021-3108 | 2020-04-03 |
| Find all providers in COLLINSVILLE | ||||
| City | COLLINSVILLE |
| Zip Code | 24078 |
Please comment or provide details below to improve the information on GLENN HOWARD HERMANN.
| 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.