Individual provider Active NPI

Curtis Markee Threatt, OPTICIAN

  • Optician
  • Winston Salem, NC
National Provider Identifier
1487165833
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
2110 Issued in NC
Practice address
2700 Reynolda Rd Apt 1302
Winston Salem, NC 27106-3847
Phone
(336) 749-7833
NPI assigned
Oct 12, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 2110 NC Primary

Addresses

Primary practice location

2700 Reynolda Rd Apt 1302
Winston Salem, NC 27106-3847

Mailing address

125 Jonestown Rd
Winston Salem, NC 27104-4616
Phone (336) 473-7069

Other practice location 1

125 Jonestown Rd
Winston Salem, NC 27104-4616
Phone (336) 473-7069

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2110NCMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487165833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 JONESTOWN RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044616",
            "telephone_number": "336-473-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 REYNOLDA RD APT 1302",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063847",
            "telephone_number": "336-749-7833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Jonestown Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271044616",
            "country_code": "US",
            "telephone_number": "336-473-7069",
            "fax_number": "336-473-7069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THREATT",
        "first_name": "CURTIS",
        "middle_name": "MARKEE",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NC",
            "license": "2110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.