Provider Demographics
NPI:1871675850
Name:DAVID J THURMAN OD PC
Entity Type:Organization
Organization Name:DAVID J THURMAN OD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:THURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:717-637-6919
Mailing Address - Street 1:276 FREDERICK ST
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-3617
Mailing Address - Country:US
Mailing Address - Phone:717-637-6919
Mailing Address - Fax:717-637-0726
Practice Address - Street 1:276 FREDERICK ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-3617
Practice Address - Country:US
Practice Address - Phone:717-637-6919
Practice Address - Fax:717-637-0726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001137152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA111399OtherEYE MED VISION
PA09502OtherSPECTERA
PA6080OtherAVESIS PIN
PA5920067OtherAETNA PIN
PA3737OtherDAVIS VISION
PA396198OtherNVA
PANVAOther390295
PA1302381OtherAETNA
PA6079OtherAVESIS PIN
PA09503OtherSPECTERA
PAPA5578OtherVBA
PA3735OtherDAVIS VISION
PA95578OtherVBA
PA6079OtherAVESIS PIN
PA09502OtherSPECTERA
PA3737OtherDAVIS VISION