Individual provider Active NPI

Daniel W Thurm, OD

  • Optometrist
  • Stoughton, MA
National Provider Identifier
1336237676
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3021 Issued in MA
Practice address
89 Sharon St
Stoughton, MA 02072-2011
Phone
(781) 344-3331
Fax
(781) 344-4717
NPI assigned
Oct 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3021 MA Primary

Addresses

Primary practice location

89 Sharon St
Stoughton, MA 02072-2011

Mailing address

89 Sharon St
Stoughton, MA 02072-2011
Phone (781) 344-3331

Other identifiers 3

IdentifierTypeStateIssuer
0344729MedicaidMA
154615OtherMATUFTS
W15803OtherMABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070305000045 MA Practitioner - Optometry 0446352892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

89 Sharon St
Stoughton, MA 02072-2011
Phone (781) 344-3335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3021MAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Tchao Eye Associates LLC Optometrist CurrentSince Mar 18, 2024 Accepting new patients
Daniel W Thurm LLC Optometrist CurrentSince Nov 1, 2006 Accepting new patients
Cobb Corner Eye Care Optometrist Past Accepting new patients

Locations

340 Wood Rd
Ste 2020
Braintree, MA 02184
Phone (781) 794-2200

89 Sharon St
Stoughton, MA 02072
Phone (781) 344-3331

89 Sharon St
#A
Stoughton, MA 02072
Phone (781) 849-1111

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336237676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 SHARON ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020722011",
            "telephone_number": "781-344-3331",
            "fax_number": "781-344-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 SHARON ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020722011",
            "telephone_number": "781-344-3331",
            "fax_number": "781-344-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURM",
        "first_name": "DANIEL",
        "middle_name": "W",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0344729",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "154615",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W15803",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

Verify at the official NPI Registry.