Individual provider Active NPI

Curtis Alexander Dubois, OD

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1689197915
Registry record updated Jul 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2923 Issued in OK
Practice address
6140 S Memorial Dr
Tulsa, OK 74133-1933
Phone
(918) 252-2020
NPI assigned
Jul 18, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2923 OK Primary

Addresses

Primary practice location

6140 S Memorial Dr
Tulsa, OK 74133-1933

Mailing address

1746 E 63Rd St
Tulsa, OK 74136-0819
Phone (405) 203-3661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171018003100 TX Practitioner - Optometry 2062788060 Reassigns benefits to 1 organization
I20180628000426 OK Practitioner - Optometry 2062788060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Eye Institute PLLCGroup PAC ID 6507083557, 36 clinicians

Practice addresses (Care Compare)

6140 S Memorial Dr
Tulsa, OK 74133-1933
Phone (918) 252-2020

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2923OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Eye Institute PLLC Optometrist CurrentSince Jul 1, 2018 Accepting new patients
Cherokee Nation CurrentSince Aug 20, 2017 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince Aug 20, 2017 Accepting new patients
Triad Surgery Center LLC Past Accepting new patients
Triad Surgery Center, LLC Past Accepting new patients
Triad Surgery Center LLC Past Accepting new patients
Triad Surgery Center LLC Past Accepting new patients

Locations

3615 SE Kentucky St
Bartlesville, OK 74006
Phone (800) 354-2020

1715 N Lynn Riggs Blvd
#1
Claremore, OK 74017
Phone (918) 342-4222

63223 E 290 Rd
Grove, OK 74344
Phone (918) 786-3931

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 E Wyandotte Ave
McAlester, OK 74501
Phone (918) 302-9232

3131 Military Blvd
Muskogee, OK 74401
Phone (918) 290-2300

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

1020 NE 1st St
Pryor, OK 74361
Phone (918) 342-4222

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

6140 S Memorial Dr
Tulsa, OK 74133
Phone (918) 252-2020

6827 S Memorial Dr
Tulsa, OK 74133
Phone (918) 252-2020

3906 S Peoria Ave
Tulsa, OK 74105
Phone (918) 585-1523

8023 E 63rd Pl
Ste 500
Tulsa, OK 74133
Phone (918) 252-2020

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 8

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": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1689197915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 E 63RD ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741360819",
            "telephone_number": "405-203-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331933",
            "telephone_number": "918-252-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "CURTIS",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.