Provider Demographics
NPI:1417909904
Name:ERHARD, DAVID RALPH (OD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:RALPH
Last Name:ERHARD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6319 HARVEST MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45424-4873
Mailing Address - Country:US
Mailing Address - Phone:937-235-5929
Mailing Address - Fax:
Practice Address - Street 1:6319 HARVEST MEADOWS DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45424-4873
Practice Address - Country:US
Practice Address - Phone:937-235-5929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3068/T-1624152WC0802X
PAOE-004881P152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2174454Medicaid
OH2174454Medicaid