Individual provider Active NPI

Curtis Donald Ferriman, O.D.

  • Optometrist
  • Wellington, OH
National Provider Identifier
1083696108
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4350/T256 Issued in OH
Practice address
602 West Herrick Ave.
Wellington, OH 44090-1300
Phone
(440) 647-2112
Fax
(440) 647-6135
NPI assigned
Nov 15, 2005
Last updated
Oct 31, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4350/T256 OH Primary

Addresses

Primary practice location

602 West Herrick Ave.
Wellington, OH 44090-1300

Mailing address

602 W Herrick Ave
Wellington, OH 44090-1250
Phone (440) 647-2112

Other identifiers 1

IdentifierTypeStateIssuer
2344190MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070710000519 OH Practitioner - Optometry 7012017866 Practice locations: Rittman, OH; Wellington, OH

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

602 W Herrick Ave
Wellington, OH 44090-1250

602 W Herrick Ave
Wellington, OH 44090-1300
Phone (440) 647-2112

89 E Ohio Ave
Rittman, OH 44270-1536
Phone (330) 925-4901

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as individual
Quality
76.14
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4350/T256OHMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1083696108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 W HERRICK AVE",
            "city": "WELLINGTON",
            "state": "OH",
            "postal_code": "440901250",
            "telephone_number": "440-647-2112",
            "fax_number": "440-647-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 WEST HERRICK AVE.",
            "city": "WELLINGTON",
            "state": "OH",
            "postal_code": "440901300",
            "telephone_number": "440-647-2112",
            "fax_number": "440-647-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIMAN",
        "first_name": "CURTIS",
        "middle_name": "DONALD",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4350/T256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2344190",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, OH

Sources for this page

Verify at the official NPI Registry.