Organization Active NPI

Daniel W Thurm LLC

  • Optometrist
  • Stoughton, MA
National Provider Identifier
1891851259
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3021 Issued in MA
Legal business name
DANIEL W THURM LLC
Doing business as
cobb corner eye care
Practice address
89 Sharon St
Stoughton, MA 02072-2011
Phone
(781) 344-3331
Fax
(781) 344-4717
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Daniel W Thurm, ODNPI 1336237676
Title
Owner
Phone
(781) 344-3331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 names 1

  • cobb corner eye care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070115000088 MA Part B Supplier - Clinic/Group Practice 8325048481 Receives reassigned benefits from 1 practitioner
Practice locations: Stoughton, MA

National Provider Directory

National Provider Directory
Tax ID family
Daniel W Thurm LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891851259",
    "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": {
        "organization_name": "DANIEL W THURM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THURM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-344-3331",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cobb corner eye care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.