Individual provider Active NPI

Thomas O McCurdy, O.D.

  • Specialist
  • Port Angeles, WA
National Provider Identifier
1003033671
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OD00001134 Issued in WA
Practice address
504 E 8TH St
Suite a
Port Angeles, WA 98362-6246
Phone
(360) 457-1032
Fax
(360) 452-9604
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OD00001134 WA Primary

Addresses

Primary practice location

504 E 8TH St
Suite a
Port Angeles, WA 98362-6246

Mailing address

504 A East 8TH St
Port Angeles, WA 98362-6246
Phone (360) 457-1032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090112000759 WA Practitioner - Optometry 5890858138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD00001134WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas O McCurdy OD Inc PS CurrentSince Jan 1, 1966 Accepting new patients

Locations

504 E 8th St
Ste A
Port Angeles, WA 98362
Phone (360) 457-1032

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003033671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 A EAST 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626246",
            "telephone_number": "360-457-1032",
            "fax_number": "360-452-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E 8TH ST",
            "address_2": "SUITE A",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626246",
            "telephone_number": "360-457-1032",
            "fax_number": "360-452-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCURDY",
        "first_name": "THOMAS",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "OD00001134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

Verify at the official NPI Registry.