Active NPI
David Jefferson Thurman, OD
- Optometrist
- Hanover, PA
National Provider Identifier
1104035658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG1137
- Practice address
- 276 Frederick St
Hanover, PA 17331-3617 - Phone
- (717) 637-6919
- Fax
- (717) 637-0726
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG1137 | PA | Primary |
Addresses
Primary practice location
276 Frederick St
Hanover, PA 17331-3617
Mailing address
70 Laurel Drive
Hanover, PA 17331-3617
Phone (717) 632-5073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG1137 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104035658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 LAUREL DRIVE",
"city": "HANOVER",
"state": "PA",
"postal_code": "173313617",
"telephone_number": "717-632-5073",
"fax_number": "717-637-0726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 FREDERICK ST",
"city": "HANOVER",
"state": "PA",
"postal_code": "173313617",
"telephone_number": "717-637-6919",
"fax_number": "717-637-0726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THURMAN",
"first_name": "DAVID",
"middle_name": "JEFFERSON",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG1137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.