Organization Active NPI

Dr. Curtis Eyecare, PC

  • Optometrist
  • Byron Center, MI
National Provider Identifier
1417157751
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002997 Issued in MI
Legal business name
DR. CURTIS EYECARE, PC
Practice address
2155 84TH St SW
Byron Center, MI 49315-8260
Phone
(616) 878-3600
Fax
(616) 878-7098
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Mrs. Tamara Ann Beld
Title
Insurance Billing
Phone
(616) 878-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901002997 MI Primary

Addresses

Primary practice location

2155 84TH St SW
Byron Center, MI 49315-8260

Mailing address

2155 84TH St SW
Byron Center, MI 49315-8260
Phone (616) 878-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040329001340 MI Part B Supplier - Clinic/Group Practice 3577455948 Receives reassigned benefits from 4 practitioners
Practice locations: Byron Center, MI
O20100930065551 MI DME Supplier - Physician - Optometrist 3577455948 Practice locations: Byron Center, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Dr Curtis Eyecare PC2155 84TH St SW, Byron Center, MI 49315-8668(616) 878-3600 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

2155 84th St SW
Ste 1
Byron Center, MI 49315

2155 84th St SW
Byron Center, MI 49315
Phone (616) 878-3600

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1417157751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 84TH ST SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158260",
            "telephone_number": "616-878-3600",
            "fax_number": "616-878-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 84TH ST SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158260",
            "telephone_number": "616-878-3600",
            "fax_number": "616-878-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CURTIS EYECARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "BELD",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "INSURANCE BILLING",
        "authorized_official_telephone_number": "616-878-3600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron Center, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.