Doctor Name: | DR. THAYNE W MAURER |
NPI Number: | 1861491896 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | OE004103P |
Business Practice Address: | 9279 Olde Scotland Rd Shippensburg, PA - 17257 |
Business Phone Number: | 7175328221 |
Business Fax Number: | 7175329312 |
Mailing Address: | Po Box 278, SHIPPENSBURG |
State: | PA |
Postal Code: | 172570278 |
Phone Number: | 7175328221 |
Fax Number: | 7175329312 |
NPI Enumeration Date: | 07/20/2005 |
NPI Last Update Date: | 01/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | OE004103P |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |