Individual provider Active NPI

Shirley M Curioso, O.D.

  • Optometrist
  • Centerbrook, CT
National Provider Identifier
1063502102
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
879 Issued in CT
Practice address
90 Main St
Suite 101
Centerbrook, CT 06409-1056
Phone
(860) 767-3206
NPI assigned
Oct 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Optometrist 152W00000X 879 CT Primary

Addresses

Primary practice location

90 Main St
Suite 101
Centerbrook, CT 06409-1056

Mailing address

PO Box 418
Old Lyme, CT 06371-0418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20041123000406 CT Practitioner - Optometry 8426013012 Practice locations: Centerbrook, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wild Apple Eye LLC Optometrist PastSince Sep 16, 2020 Accepting new patients
Cobbs Optical Shoppe LTD Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063502102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063710418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MAIN ST",
            "address_2": "SUITE 101",
            "city": "CENTERBROOK",
            "state": "CT",
            "postal_code": "064091056",
            "telephone_number": "860-767-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURIOSO",
        "first_name": "SHIRLEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerbrook, CT

Sources for this page

Verify at the official NPI Registry.