Individual
DAVID BRENNEN THRONEBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1693
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0906W
BCBS
NC
01
—
124971
OPTICARE
NC
01
—
180034437
RAILROAD MEDICARE
NC
01
—
2238830
UNITED HEALTHCARE
NC
01
—
368226
USA MANAGED CARE
NC
01
—
370068
MAMSI
NC
01
—
86924
MEDCOST
NC
05
—
890906W
—
NC
05
—
DN1693
—
SC
01
—
FH7000015
FIRSTCAROLINACARE
NC
01
—
NCK7580355
MEDICARE
NC
Enumeration date
11/04/2005
Last updated
12/20/2023
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