Provider Demographics
NPI:1831273796
Name:FURMAN, EDWARD F (OD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:F
Last Name:FURMAN
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 1:135 N READING AVE
Mailing Address - Street 2:
Mailing Address - City:BOYERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19512-1011
Mailing Address - Country:US
Mailing Address - Phone:610-367-2140
Mailing Address - Fax:610-473-7452
Practice Address - Street 1:135 N READING AVE
Practice Address - Street 2:
Practice Address - City:BOYERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19512-1011
Practice Address - Country:US
Practice Address - Phone:610-367-2140
Practice Address - Fax:610-473-7452
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE005787-T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAFU180139Medicare ID - Type Unspecified
U-07699Medicare UPIN