MEDICARE: WILLIAM J. HOOVER

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	1359	CO

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

General Provider Information

NPI Number	:	1740458926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM J. HOOVER

Provider Business Mailing Address
First Line	:	904 PITKIN AVE
Second Line	:
City	:	GLENWOOD SPRINGS
State	:	CO
Zip	:	81601-3354
Country	:	US
Telephone Number	:	970-945-6011
Fax Number	:	970-945-5627

Provider Business Practice Location Address
First Line	:	904 PITKIN AVE
Second Line	:
City	:	GLENWOOD SPRINGS
State	:	CO
Zip	:	81601-3354
Country	:	US
Telephone Number	:	970-945-6011
Fax Number	:	970-945-5627

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. WILLIAM J. HOOVER
Credential	:	OD
Telephone Number	:	970-945-6011

Provider Enumeration Date	:	02/11/2008
Last Update Date	:	06/26/2008

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Directions to “WILLIAM J. HOOVER ” Practice Location

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