Mary Catherine Furgerson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5927 Issued in OH

Practice address

487 W Main St
West Jefferson, OH 43162-1178

Phone

(614) 879-7239

Fax

(614) 879-1001

NPI assigned

Apr 27, 2010

Last updated

Jul 5, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eye Clinic of West Jefferson, LLC

  • Optometrist
  • West Jefferson, OH
  • NPI 1114055530
  Medicare reassignment
• Clear Choice Audiology, LLC

  • Audiologist
  • Newark, OH
  • NPI 1043322407
  NPD (past)

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309824000000",
    "number": "1902123102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 W MAIN ST",
            "city": "WEST JEFFERSON",
            "state": "OH",
            "postal_code": "431621178",
            "telephone_number": "614-879-7239",
            "fax_number": "614-879-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 W MAIN ST",
            "city": "WEST JEFFERSON",
            "state": "OH",
            "postal_code": "431621178",
            "telephone_number": "614-879-7239",
            "fax_number": "614-879-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURGERSON",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2011-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA: PIN #",
            "identifier": "0009987600",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "020700417050",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3047394",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori S Feddern, LMT
• Kristy Fleagane, DC
• Chrystal Lynn Fooce, LPN
• Kristen M Forrest
• Sally Anne Forrest
• Scott A Furgerson, O.D.
• Mark W Garwood, DO
• Betsy Geddis
• Kimberly M Gill, DDS, MS
• Basilia Dawn Gonzalez

• Optometrist in West Jefferson, OH
• Providers in West Jefferson, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.