Organization Active NPI

Curtis Optometry Clinic and Dispensary, P.a.

  • Optometrist
  • Columbus, MS
National Provider Identifier
1104019561
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
502 Issued in MS
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

Updated by the provider on Mar 6, 2008

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00880218MedicaidMS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.