Active NPI
Curt Andre OD Incorporated
- Optometrist
- Turlock, CA
National Provider Identifier
1013133800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6157T
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6157T | CA | Primary |
| Optometrist | 152W00000X | 9253T | CA | |
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0092530 | Medicaid | CA | |
| SD0130470 | Medicaid | CA | |
| SD0061570 | Medicaid | CA |
Other names 1
- Andre Hartman & Medina
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Curt Andre OD Inc | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Turlock, CA
- NPI 1447310230
-
- Optometrist
- Merced, CA
- NPI 1922078294
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.