Individual provider Active NPI

Wiley F Curtis, O.D.

  • Optometrist
  • Arlington, TX
National Provider Identifier
1497748867
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3023TG Issued in TX
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0202450001OtherTXMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100615000800 TX Practitioner - Optometry 3173653292 Reassigns benefits to 1 organization

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
Arlington Vision Source PCGroup PAC ID 0143570234, 4 clinicians

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

LicenseStateTypeSpecialty
3023TGTXMDOptometrist
3023TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Vision Source PC Optometrist CurrentSince Mar 8, 2020 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.

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

Verify at the official NPI Registry.