Whalio Doctors

NPI 1184744997

Hoyt Glaze, LDO

Practitioner Optician Marietta, GA

Practice location

Address
653 Cherokee St, Marietta, GA 30060
Phone
(770) 419-1393
Fax
(770) 419-8188
Mailing address
5245 Lockwood Ln, Powder Springs, GA 30127-4915

Registered specialties

Optician Primary
Eye and Vision Services Providers Taxonomy 156FX1800X Licence LDO000497 (GA)

Registry record

NPI
1184744997
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Mar 2007
Record last updated
18 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.