MEDICARE: WENDY LEE THURMAN 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	OPT.006762	OH

General Provider Information

NPI Number	:	1346802105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY LEE THURMAN OD

Provider Business Mailing Address
First Line	:	10551 W NATIONAL RD
Second Line	:
City	:	NEW CARLISLE
State	:	OH
Zip	:	45344-9299
Country	:	US
Telephone Number	:	378-459-4449
Fax Number	:

Provider Business Practice Location Address
First Line	:	10551 W NATIONAL RD
Second Line	:
City	:	NEW CARLISLE
State	:	OH
Zip	:	45344-9299
Country	:	US
Telephone Number	:	937-845-9444
Fax Number	:

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

Provider Enumeration Date	:	07/02/2019
Last Update Date	:	03/09/2022

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