GLEN JR. HATCHER (DO) – Ophthalmology Physician, NPI 1396744983

GLEN JR. HATCHER (DO) is a healthcare provider. based in Henderson, Nevada. specializing in Ophthalmology Physician. They hold the professional credentials DO. They hold a License No. 633 (NV). The NPI Number for GLEN JR. HATCHER (DO) is 1396744983

Main info

Male
Name
GLEN JR. HATCHER (DO)
NPI
1396744983
Phone
(702) 896-6043
Address
2598 WINDMILL PKWY
Enumeration Date
18 July 2005
Last Update Date
21 December 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for GLEN JR. HATCHER (DO)

  • 2598, Windmill Parkway, Henderson, Clark County, Nevada, 89074, United States

    HENDERSON, NV 890745476

    Phone: (702) 896-6043

    Fax: (702) 896-9591

    Type: Mailing

  • 9455 W RUSSELL RD

    100

    LAS VEGAS, NV 891485667

    Phone: (702) 896-6043

    Fax: (702) 896-9591

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-01-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080130000710IOphthalmologyNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89074)

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Reviews

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Frequently asked questions

Is GLEN JR. HATCHER (DO) listed with a National Provider Identifier?
Yes — GLEN JR. HATCHER (DO) has NPI 1396744983 on file in the registry.
Is GLEN JR. HATCHER (DO) still an active registrant?
GLEN JR. HATCHER (DO) carries an active NPI according to the public dataset.
How would a patient describe GLEN JR. HATCHER (DO)'s focus?
For GLEN JR. HATCHER (DO), the primary taxonomy reads as Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Is GLEN JR. HATCHER (DO) located near Henderson?
GLEN JR. HATCHER (DO) currently maps to Henderson, Nevada in this extract.
Does GLEN JR. HATCHER (DO) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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