Individual
GLENN HOWARD HERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000497
VA
152WC0802X
Corneal and Contact Management Optometrist
0618000497
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009231854
—
VA
01
—
040437
BLUE CROSS BLUE SHIELD
VA
01
—
450168
COBINED INSURANCE CO OF A
VA
01
—
541741479
ACCORDIA NATIONAL
VA
05
—
541741479
—
VA
01
—
5674
VISION WITH B/C B/S
VA
01
—
910899
COLE
VA
01
—
9615238
CIGNA HEALTHCARE
VA
Enumeration date
06/19/2006
Last updated
11/04/2016
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