Individual
DR. CRAIG GERALD HOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000484
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009233920
—
VA
01
—
1246280001
MEDICARE DMERC
VA
01
—
232671
BLUE CROSS BLUE SHIELD
VA
01
—
410038493
RAILROAD MEDICARE
VA
Enumeration date
06/28/2006
Last updated
09/05/2012
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