Active NPI
Wiley F Curtis, O.D.
- Optometrist
- Arlington, TX
National Provider Identifier
1497748867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3023TG
- Practice address
- 1334 E Pioneer Pkwy
Arlington, TX 76010-6411 - Phone
- (817) 461-4453
- Fax
- (817) 861-2516
- NPI assigned
- Aug 31, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 3023TG | TX | Primary |
Addresses
Primary practice location
1334 E Pioneer Pkwy
Arlington, TX 76010-6411
Mailing address
1334 E Pioneer Pkwy
Arlington, TX 76010-6411
Phone (817) 461-4453
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202450001 | Other | TX | MEDICARE DMERC SUPPLIER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1334 E Pioneer Pkwy
Arlington, TX 76010-6411
Phone (817) 461-4453
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3023TG | TX | MD | Optometrist |
| 3023 | TX | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arlington Vision Source PC | Optometrist | Current | Accepting new patients |
Locations
1334 E Pioneer Pkwy
Arlington, TX 76010
Phone (817) 461-4453
Organizations & group practices 1
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.
-
- Optometrist
- Arlington, TX
- NPI 1740773795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497748867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1334 E PIONEER PKWY",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760106411",
"telephone_number": "817-461-4453",
"fax_number": "817-861-2516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1334 E PIONEER PKWY",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760106411",
"telephone_number": "817-461-4453",
"fax_number": "817-861-2516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CURTIS",
"first_name": "WILEY",
"middle_name": "F",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "3023TG",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DMERC SUPPLIER",
"identifier": "0202450001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.