Individual provider Active NPI

E Craig McCurdy, OD

  • Optometrist
  • Novato, CA
National Provider Identifier
1184694010
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7005TPA Issued in CA
Practice address
1730 Novato Blvd
Suite C
Novato, CA 94947-3048
Phone
(415) 897-1161
Fax
(415) 899-9871
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7005TPA CA Primary

Addresses

Primary practice location

1730 Novato Blvd
Suite C
Novato, CA 94947-3048

Mailing address

1730 Novato Blvd
Suite C
Novato, CA 94947-3048
Phone (415) 897-1161

Other identifiers 1

IdentifierTypeStateIssuer
P00225029OtherCAMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050601000416 CA Practitioner - Optometry 2860434784 Reassigns benefits to 1 organization
Practice locations: Novato, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7005TPACAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
J Pietrantonio OD Inc Optometrist PastSince Jan 1, 2005 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1184694010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 NOVATO BLVD",
            "address_2": "SUITE C",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473048",
            "telephone_number": "415-897-1161",
            "fax_number": "415-899-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 NOVATO BLVD",
            "address_2": "SUITE C",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473048",
            "telephone_number": "415-897-1161",
            "fax_number": "415-899-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCURDY",
        "first_name": "E",
        "middle_name": "CRAIG",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7005TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00225029",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

Verify at the official NPI Registry.