Provider Demographics
NPI:1598857062
Name:DR DAVID A ERWIN AND ASSOCIATES INC
Entity type:Organization
Organization Name:DR DAVID A ERWIN AND ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:ERWIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:740-622-2270
Mailing Address - Street 1:535 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-1210
Mailing Address - Country:US
Mailing Address - Phone:740-622-2270
Mailing Address - Fax:740-622-4376
Practice Address - Street 1:535 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-1210
Practice Address - Country:US
Practice Address - Phone:740-622-2270
Practice Address - Fax:740-622-4376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3344 T916152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0458702Medicare PIN
OH0279500001Medicare NSC