GLENN P HOOT MD PHD PS INC (NPI# 1780866053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780866053 |
| Entity Type | Organization |
| Organization Name | GLENN P HOOT MD PHD PS INC |
| Other Organization Name | DBA BROADWAY OPTICAL |
| Practice Address |
118 W 1st St Aberdeen WA 98520-6215 |
| Practice Telephone | 3605323773 |
| Practice Fax Number | 3605336545 |
| Mailing Telephone | 3605323773 |
| Mailing Fax Number | 3605336545 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |
| Authorized Official Name | DR. GLENN P HOOT (PRESIDENT) |
| Authorized Official Telephone | 3605335800 |
| Authorized Official Credential | MD PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | MD32157 | WA | Suppliers |
| Other Name | Type Code |
|---|---|
| DBA Broadway Optical | Doing Business As Name - Organization |
| Street Address |
118 W 1ST ST |
| City | ABERDEEN |
| State | WA |
| Zip Code | 98520-6215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740755354 | Wchs, Inc. | Clinic/Center | 516 East 1st Street, Aberdeen, WA 98520 | 2018-10-10 |
| 1518454180 | Katie Cutshaw | Counselor | 1700 Cherry Street, Suite C, Aberdeen, WA 98520 | 2018-04-18 |
| 1629587738 | Robert Williams | Counselor | Catholic Community Services, 403 West State Street, Suite 206, Aberdeen, WA 98520 | 2017-09-21 |
| 1174032296 | Amy D Tyler | Peer Specialist | 403 W State Street, Ste 206, Aberdeen, WA 98520 | 2017-09-20 |
| 1073032819 | Amanda Leona Franklin | Counselor | 2700 Simpson Ave, Suite 101, Aberdeen, WA 98520 | 2017-09-13 |
| 1184141152 | Chrystal Lynn Beckley | Counselor | 2700 Simpson Avenue Suite 101, Aberdeen, WA 98520 | 2017-08-29 |
| 1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
| 1386165553 | Melvin Taylor | Counselor | 311 South I Street, Aberdeen, WA 98520 | 2017-06-28 |
| 1164870267 | Kelly Knittle | Counselor | 4820 She-nah-num Dr. Se, Olympia, WA 98520 | 2016-05-31 |
| 1437570249 | Aberdeen Therapy Works | Occupational Therapist | 100 S. I Street, Suite 205, Aberdeen, WA 98520 | 2013-12-20 |
| Find all providers in zip 98520 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988879 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 3001 6th Ave Se Ste 5, Aberdeen, SD 57401-5471 | 2020-10-01 |
| 1972126407 | Reliant Home Medical Supplies and Equipment LLC | Durable Medical Equipment & Medical Supplies | 134 E Commerce St, Aberdeen, MS 39730-2710 | 2020-05-19 |
| 1104333830 | Eagles Diabetic Services, LLC | Durable Medical Equipment & Medical Supplies | 124 Sedgewood Ct, Aberdeen, NC 28315-0050 | 2018-01-03 |
| 1437492246 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1550 N Sandhills Blvd, Aberdeen, NC 28315-2304 | 2013-03-29 |
| 1679817860 | Sanford Home Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 3001 6th Ave Se, Suite 5, Aberdeen, SD 57401-5471 | 2012-11-12 |
| 1932468691 | Beyond Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 56890 Dover Lane, Aberdeen, WA 98520 | 2012-05-15 |
| 1275785644 | Lula Bell Hale | Durable Medical Equipment & Medical Supplies | 201 N Meridian St, Aberdeen, MS 39730-2699 | 2008-10-16 |
| 1629224704 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 950 Beards Hill Rd, Aberdeen, MD 21001-1733 | 2008-08-08 |
| 1356417703 | Avera Home Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 816 6th Ave Se, Suite 2, Aberdeen, SD 57401-6312 | 2006-11-28 |
| 1346319514 | Joseph Edward Roedder Jr. | Durable Medical Equipment & Medical Supplies | 36 N Parke St, Aberdeen, MD 21001-2436 | 2006-11-06 |
| Find all providers in ABERDEEN | ||||
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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.