Provider Demographics
NPI:1942268990
Name:DONALD W. FURMAN, P.C.
Entity Type:Organization
Organization Name:DONALD W. 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:641-843-3841
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:BRITT
Mailing Address - State:IA
Mailing Address - Zip Code:50423-0066
Mailing Address - Country:US
Mailing Address - Phone:641-843-3841
Mailing Address - Fax:641-843-4686
Practice Address - Street 1:90 MAIN AVE N
Practice Address - Street 2:
Practice Address - City:BRITT
Practice Address - State:IA
Practice Address - Zip Code:50423-1657
Practice Address - Country:US
Practice Address - Phone:641-843-3841
Practice Address - Fax:641-843-4686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-01
Last Update Date:2011-08-31
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
IA17589OtherBCBS-DR. FURMAN-BRITT OFF
IA1113142Medicaid
IA17589OtherBCBS-DR. FURMAN-BRITT OFF
IAI7520Medicare ID - Type UnspecifiedBRITT PROVIDER #
IA1113142Medicaid
IA0206150002Medicare NSC