Active NPI
Curtis Optometry Clinic and Dispensary, P.a.
- Optometrist
- Columbus, MS
National Provider Identifier
1104019561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 502
- Legal business name
- CURTIS OPTOMETRY CLINIC AND DISPENSARY, P.A.
- Practice address
- 1823 5TH St N
Columbus, MS 39705-2203 - Phone
- (662) 328-5225
- NPI assigned
- Aug 20, 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
- Dr. David H. Curtis, O. D.
- Title
- President/Optometrist
- Phone
- (662) 328-5225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 502 | MS | Primary |
Addresses
Primary practice location
1823 5TH St N
Columbus, MS 39705-2203
Mailing address
PO Box 9099
Columbus, MS 39705-0038
Phone (662) 328-5225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00880218 | Medicaid | MS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204761600000",
"number": "1104019561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9099",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397050038",
"telephone_number": "662-328-5225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1823 5TH ST N",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397052203",
"telephone_number": "662-328-5225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CURTIS OPTOMETRY CLINIC AND DISPENSARY, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-20",
"last_updated": "2008-03-06",
"status": "A",
"authorized_official_last_name": "CURTIS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
"authorized_official_telephone_number": "662-328-5225",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O. D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MS",
"license": "502",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00880218",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.