Provider Demographics
NPI:1023378643
Name:DONALDW. FURMAN, P.C.
Entity Type:Organization
Organization Name:DONALDW. FURMAN, P.C.
Other - Org Name:FAMILY EYE CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:WALLACE
Authorized Official - Last Name:FURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:641-585-3590
Mailing Address - Street 1:PO BOX 410
Mailing Address - Street 2:
Mailing Address - City:FOREST CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50436-0410
Mailing Address - Country:US
Mailing Address - Phone:641-585-3590
Mailing Address - Fax:641-585-4058
Practice Address - Street 1:139 E K ST
Practice Address - Street 2:
Practice Address - City:FOREST CITY
Practice Address - State:IA
Practice Address - Zip Code:50436-1501
Practice Address - Country:US
Practice Address - Phone:641-585-3590
Practice Address - Fax:641-585-4058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-17
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1978152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAU38489Medicare UPIN