Individual
TERESA NELL FURMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001404
VA
152W00000X
Optometrist
Primary
OEG003990
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010091489
—
VA
01
—
P00152197
RAILROAD MEDICARE
—
Enumeration date
10/26/2006
Last updated
08/08/2023
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