Active NPI
Michael Douglas Thurn, O.D.
- Optometrist
- Palm Beach Gardens, FL
National Provider Identifier
1629120456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 2131
- Practice address
- 3101 Pga Blvd
Suite A101
Palm Beach Gardens, FL 33410-2820 - Phone
- (561) 627-8185
- Fax
- (561) 627-6456
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | OPC 2131 | FL | Primary |
Addresses
Primary practice location
3101 Pga Blvd
Suite A101
Palm Beach Gardens, FL 33410-2820
Mailing address
3101 Pga Blvd
Suite A101
Palm Beach Gardens, FL 33410-2820
Phone (561) 627-8185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPC 2131 | Other | FL | STATE LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272240000000",
"number": "1629120456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 PGA BLVD",
"address_2": "SUITE A101",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102820",
"telephone_number": "561-627-8185",
"fax_number": "561-627-6456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 PGA BLVD",
"address_2": "SUITE A101",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102820",
"telephone_number": "561-627-8185",
"fax_number": "561-627-6456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THURN",
"first_name": "MICHAEL",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2010-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 2131",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "OPC 2131",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.