Organization Active NPI

Curt Andre OD Incorporated

  • Optometrist
  • Turlock, CA
National Provider Identifier
1013133800
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6157T Issued in CA
Legal business name
CURT ANDRE OD INCORPORATED
Doing business as
Andre Hartman & Medina
Practice address
711 E Hawkeye Ave
Ste 1
Turlock, CA 95380-7505
Phone
(209) 632-2411
Fax
(209) 632-9019
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Authorized official

Name
Mrs. Natasha Brahic
Title
Office Manager
Phone
(209) 632-2411

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 6157T CA Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 9253T CA
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 13047T CA

Addresses

Primary practice location

711 E Hawkeye Ave
Ste 1
Turlock, CA 95380-7505

Mailing address

711 E Hawkeye Ave
#1
Turlock, CA 95380-7505
Phone (209) 632-2411

Other identifiers 3

IdentifierTypeStateIssuer
SD0092530MedicaidCA
SD0130470MedicaidCA
SD0061570MedicaidCA

Other names 1

  • Andre Hartman & Medina Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080806000320 CA Part B Supplier - Clinic/Group Practice 3274607452 Receives reassigned benefits from 2 practitioners
Practice locations: Turlock, CA
O20100930014823 CA DME Supplier - Physician - Optometrist 3274607452 Practice locations: Turlock, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Curt Andre OD Inc711 E Hawkeye Ave, Turlock, CA 95380-7505(209) 632-2411 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Oct 1, 1984

National Provider Directory

National Provider Directory

Locations

711 E Hawkeye Ave
Ste 1
Turlock, CA 95380
Phone (209) 632-2411

607 E Olive Ave
Turlock, CA 95380
Phone (209) 632-2411

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or 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-2",
    "last_updated_epoch": "1458691200000",
    "number": "1013133800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E HAWKEYE AVE",
            "address_2": "#1",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953807505",
            "telephone_number": "209-632-2411",
            "fax_number": "209-632-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E HAWKEYE AVE",
            "address_2": "STE 1",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953807505",
            "telephone_number": "209-632-2411",
            "fax_number": "209-632-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURT ANDRE OD INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "BRAHIC",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "209-632-2411",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6157T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9253T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13047T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0092530",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0130470",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0061570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andre Hartman & Medina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.