Active NPI
Craig Boyd Kurtz, OD
- Optometrist
- Houghton, MI
National Provider Identifier
1679649677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901002458
- Practice address
- 1014 College Avenue
Houghton, MI 49931 - Phone
- (906) 482-6800
- Fax
- (906) 482-5120
- NPI assigned
- Nov 28, 2006
- 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 | 4901002458 | MI | Primary |
Addresses
Primary practice location
1014 College Avenue
Houghton, MI 49931
Mailing address
1014 College Avenue
Houghton, MI 49931
Phone (906) 482-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 945026180 | Medicaid | MI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901002458 | MI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309219200000",
"number": "1679649677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 COLLEGE AVENUE",
"city": "HOUGHTON",
"state": "MI",
"postal_code": "49931",
"telephone_number": "906-482-6800",
"fax_number": "906-482-5120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 COLLEGE AVENUE",
"city": "HOUGHTON",
"state": "MI",
"postal_code": "49931",
"telephone_number": "906-482-6800",
"fax_number": "906-482-5120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURTZ",
"first_name": "CRAIG",
"middle_name": "BOYD",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2011-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901002458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "945026180",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houghton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.