MEDICARE: DR. MARCUS A HOOD OD & ASSOC.INC.

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	TA 2000	MD

General Provider Information

NPI Number	:	1639600760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. MARCUS A HOOD OD & ASSOC.INC.

Provider Business Mailing Address
First Line	:	6074 LOVENTREE RD
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-3936
Country	:	US
Telephone Number	:	443-518-9094
Fax Number	:

Provider Business Practice Location Address
First Line	:	10300 LITTLE PATUXENT PKWY
Second Line	:	1630
City	:	COLUMBIA
State	:	MD
Zip	:	21044-3341
Country	:	US
Telephone Number	:	410-730-3516
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS OWNER
Name	:	DR. MARCUS AARON HOOD
Credential	:	O.D.
Telephone Number	:	443-518-9094

Provider Enumeration Date	:	03/21/2017
Last Update Date	:	03/21/2017

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