MEDICARE: DR. FRANK DONALD HURD O.D.

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	OPC 2059	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336266154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK DONALD HURD O.D.

Provider Business Mailing Address
First Line	:	3745 33RD ST N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33713-1556
Country	:	US
Telephone Number	:	727-525-0006
Fax Number	:	727-521-3694

Provider Business Practice Location Address
First Line	:	1450 66TH ST N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33710-5504
Country	:	US
Telephone Number	:	727-381-3937
Fax Number	:

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

Provider Enumeration Date	:	03/25/2007
Last Update Date	:	03/17/2018

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