Glenn Harold Hughes, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3418/T493 Issued in OH

Practice address

4452 Eastgate Blvd
Suite 305
Cincinnati, OH 45245-1584

Phone

(513) 752-5700

Fax

(513) 752-5716

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1073568010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4452 EASTGATE BLVD",
            "address_2": "SUITE 305",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451584",
            "telephone_number": "513-752-5700",
            "fax_number": "513-752-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4452 EASTGATE BLVD",
            "address_2": "SUITE 305",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451584",
            "telephone_number": "513-752-5700",
            "fax_number": "513-752-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "GLENN",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3418/T493",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1448DT",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0401916",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77902757",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77901981",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77901999",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77540250",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie M Hughes
• Dominique Lynae Hughes
• Dustin Richard Hughes
• Emily Lynn Hughes, N.P.
• George Patrick Hughes
• Hannah Rochelle Hughes, MD, MBA
• Iris Hughes
• Iris Hughes, RN
• Jacob David Hughes, MD
• Jared M Hughes

• Optometrist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.