MEDICARE: DAVID PATRICK HURD OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	2800	AR

General Provider Information

NPI Number	:	1851858252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID PATRICK HURD OD

Provider Business Mailing Address
First Line	:	3029 E VAN BUREN
Second Line	:
City	:	EUREKA SPRINGS
State	:	AR
Zip	:	72632-9712
Country	:	US
Telephone Number	:	479-253-7136
Fax Number	:	479-253-9479

Provider Business Practice Location Address
First Line	:	3029 E VAN BUREN
Second Line	:
City	:	EUREKA SPRINGS
State	:	AR
Zip	:	72632-9712
Country	:	US
Telephone Number	:	794-253-7136
Fax Number	:	794-253-9479

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2019
Last Update Date	:	10/07/2021

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