Provider Demographics
NPI:1023203130
Name:THURMOND, RHONDA S (OD)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:S
Last Name:THURMOND
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 W FRIENDLY AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-4368
Mailing Address - Country:US
Mailing Address - Phone:336-292-4516
Mailing Address - Fax:336-292-5706
Practice Address - Street 1:5500 W FRIENDLY AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-4368
Practice Address - Country:US
Practice Address - Phone:336-292-4516
Practice Address - Fax:336-292-5706
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1481152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management