Provider Demographics
NPI:1851858252
Name:HURD, DAVID PATRICK (OD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:PATRICK
Last Name:HURD
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 1:3029 E VAN BUREN
Mailing Address - Street 2:
Mailing Address - City:EUREKA SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72632-9712
Mailing Address - Country:US
Mailing Address - Phone:479-253-7136
Mailing Address - Fax:479-253-9479
Practice Address - Street 1:3029 E VAN BUREN
Practice Address - Street 2:
Practice Address - City:EUREKA SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72632-9712
Practice Address - Country:US
Practice Address - Phone:794-253-7136
Practice Address - Fax:794-253-9479
Is Sole Proprietor?:No
Enumeration Date:2019-02-22
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2800152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist