Active NPI
George W Curnutt, O.D.
- Optometrist
- St Helens, OR
National Provider Identifier
1104895804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 957AT
- Practice address
- 2020 Columbia Blvd
St Helens, OR 97051-1737 - Phone
- (503) 397-4911
- Fax
- (503) 397-3986
- NPI assigned
- Mar 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 957AT | OR | Primary |
Addresses
Primary practice location
2020 Columbia Blvd
St Helens, OR 97051-1737
Mailing address
2020 Columbia Blvd
St Helens, OR 97051-1737
Phone (503) 397-4911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026336 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 957AT | OR | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203897600000",
"number": "1104895804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 COLUMBIA BLVD",
"city": "ST HELENS",
"state": "OR",
"postal_code": "970511737",
"telephone_number": "503-397-4911",
"fax_number": "503-397-3986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 COLUMBIA BLVD",
"city": "ST HELENS",
"state": "OR",
"postal_code": "970511737",
"telephone_number": "503-397-4911",
"fax_number": "503-397-3986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CURNUTT",
"first_name": "GEORGE",
"middle_name": "W",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2008-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "957AT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "026336",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Helens, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.