1003034935 NPI number — CURTIS OPTOMETRIC CLINIC

Table of content: (NPI 1003034935)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003034935 NPI number — CURTIS OPTOMETRIC CLINIC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CURTIS OPTOMETRIC CLINIC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003034935
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/28/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
610 S 12TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WORLAND
Provider Business Mailing Address State Name:
WY
Provider Business Mailing Address Postal Code:
82401-4007
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
307-347-4151
Provider Business Mailing Address Fax Number:
307-347-3214

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
316 N 10TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WORLAND
Provider Business Practice Location Address State Name:
WY
Provider Business Practice Location Address Postal Code:
82401-2307
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
307-347-4151
Provider Business Practice Location Address Fax Number:
307-347-3214
Provider Enumeration Date:
04/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
TREAT
Authorized Official First Name:
KIRBY
Authorized Official Middle Name:
T
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
307-347-4151

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: WY4590301 . This is a "MEDICARE PTAN" identifier , issued by the state of ( WY ) . This identifiers is of the category "OTHER".
  • Identifier: 106478900 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".




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