Whalio Doctors

NPI 1699766287

Thomas William Hurst, OD

Practitioner Optometrist Bloomfield, NM

Practice location

Address
6 Road 7586, Bloomfield, NM 87413-4934
Phone
(505) 368-6401
Fax
(505) 368-6431
Mailing address
PO Box 160, Shiprock, NM 87420-0160

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 000369 (AL)

Registry record

NPI
1699766287
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Nov 2005
Record last updated
1 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.