Individual provider Active NPI

William J. Hoover, O.D.

  • Optometrist
  • Glenwood Springs, CO
National Provider Identifier
1902895907
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1359 Issued in CO
Practice address
904 Pitkin Ave
Glenwood Springs, CO 81601-3354
Phone
(970) 945-6011
Fax
(970) 945-5627
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1359 CO Primary

Addresses

Primary practice location

904 Pitkin Ave
Glenwood Springs, CO 81601-3354

Mailing address

904 Pitkin Ave
Glenwood Springs, CO 81601-3354
Phone (970) 945-6011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20100510000555 CO Practitioner - Optometry 4284626771 Practice locations: Glenwood Springs, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1902895907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 PITKIN AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013354",
            "telephone_number": "970-945-6011",
            "fax_number": "970-945-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 PITKIN AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013354",
            "telephone_number": "970-945-6011",
            "fax_number": "970-945-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "WILLIAM",
        "middle_name": "J.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

Verify at the official NPI Registry.