Individual
DR. MARY CATHERINE FURGERSON
Active
Individual
DR. MARY CATHERINE FURGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5927
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009987600
AETNA: PIN #
OH
01
—
020700417050
CARESOURCE
OH
05
—
3047394
—
OH
Enumeration date
04/27/2010
Last updated
07/05/2011
Update your record
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