Terry W Durham OD PSC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1021DT Issued in KY

Legal business name

TERRY W DURHAM OD PSC

Practice address

218 S Liberty St
Glasgow, KY 42141-2426

Phone

(270) 651-3466

Fax

(270) 659-0633

NPI assigned

Mar 13, 2013

Last updated

Nov 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Terry W Durham, OD PSCNPI 1720151756

Title

Owner/President

Phone

(270) 651-3466

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terry W. Durham, OD PSC

  • Optometrist
  • Glasgow, KY
  • NPI 1720151756
  Authorized official Same address or phone

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1861733008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 S LIBERTY ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421412426",
            "telephone_number": "270-651-3466",
            "fax_number": "270-659-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 S LIBERTY ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421412426",
            "telephone_number": "270-651-3466",
            "fax_number": "270-659-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY W DURHAM OD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "270-651-3466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD PSC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1021DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77010213",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Talbott
• Amanda Johnston Talley, MCD, CCC/SLP
• Tank Chiropractic LLC
• Thomas Jeffery Tank, D.C.
• Tracy L. Taylor, APRN
• Antoinette Ann Tharrett, APRN
• The Good Wife Lingerie LLC (The Good Wife House of Lingerie & Mastectomy Boutique)
• Theraspeak
• Aundrea L Thomas, LCSW
• Emily Thomas

• Optometrist in Glasgow, KY
• Providers in Glasgow, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.