MEDICARE: GLENN HOWARD HERMANN O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	0618000497	VA
2	152WC0802X	Corneal and Contact Management Optometrist	0618000497	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	541741479	OTHER	VA	ACCORDIA NATIONAL
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	910899	OTHER	VA	COLE
5	541741479	OTHER	VA	ALL ALLIANCE PPO
6	040437	OTHER	VA	BLUE CROSS BLUE SHIELD
7	541741479	OTHER	VA	CIGNA HEALTHCARE
8	541741479	OTHER	VA	MAIL HANDLERS BENEFIT
9	541741479	OTHER	VA	AETNA
10	450168	OTHER	VA	COBINED INSURANCE CO OF A
11	541741479	OTHER	VA	UNITED HEALTH CARE
12	541741479	OTHER	VA	CONSECO HEALTH INSURANCE
13	541741479	OTHER	VA	GAATEWAY/PRIMARY PHYSICAN
14	5674	OTHER	VA	VISION WITH B/C B/S
15	541741479	OTHER	VA	CARILION HEALTH PLANS
16	9615238	OTHER	VA	CIGNA HEALTHCARE

General Provider Information

NPI Number	:	1093750317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLENN HOWARD HERMANN O.D.

Provider Business Mailing Address
First Line	:	3416 VIRGINIA AVE
Second Line	:	SUITE #3
City	:	COLLINSVILLE
State	:	VA
Zip	:	24078-2240
Country	:	US
Telephone Number	:	276-747-4488
Fax Number	:	276-647-7569

Provider Business Practice Location Address
First Line	:	3416 VIRGINIA AVE
Second Line	:	SUITE #3
City	:	COLLINSVILLE
State	:	VA
Zip	:	24078-2240
Country	:	US
Telephone Number	:	276-747-4488
Fax Number	:	276-647-7569

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	11/04/2016

Similar Medicare Providers

1538823737 — SACRED HEALTH INCORPORATED
Practice Location Address:

3416 VIRGINIA AVE STE 3
COLLINSVILLE, VA
24078-2240

Practice Phone: 276-403-0258
Practice Fax:

1760322135 — MACKENZIE JOYCE LEWIS-WHITLOW OD
Practice Location Address:

530 BEAVER RIDGE RD
COLLINSVILLE, VA
24078-3081

Practice Phone: 276-634-7782
Practice Fax:

1144847500 — RICHARD EDWIN WALKER III
Practice Location Address:

4244 VIRGINIA AVE
COLLINSVILLE, VA
24078-1935

Practice Phone: 276-647-3766
Practice Fax:

1376544692 — DR. DON TYLER HANDLY D.C.
Practice Location Address:

4848 KINGS MOUNTAIN RD
COLLINSVILLE, VA
24078-1828

Practice Phone: 276-647-3728
Practice Fax: 276-622-2003

1437122496 — MS. KIMBERLY LYNN HOLLAND L.P.C.
Practice Location Address:

226 MEADOW LANE
COLLINSVILLE, VA
24078

Practice Phone: 276-352-5115
Practice Fax: 276-622-2099

1154371144 — S & S HEALTH CARE, INC.
Practice Location Address:

3235 VIRGINIA AVE
COLLINSVILLE, VA
24078-2241

Practice Phone: 276-647-1700
Practice Fax: 276-647-4990

Directions to “ GLENN HOWARD HERMANN O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.