Peter J. Kurtz, OD
Individual provider Active NPI Optometrist · Menominee, MI
NPI 1750406450 · NPPES record last updated Aug 27, 2008
Key facts
- NPI
- 1750406450
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4901002914 (MI)
- Practice address
- 801 1St St
Menominee, MI 49858-3231 - Phone
- (906) 863-2330
- Fax
- (906) 863-3794
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Other NPIs on the same Medicare enrollment 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
801 1St St
Menominee, MI 49858-3231
Phone (906) 863-2330
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 39 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120808000483 | MI | Practitioner - Optometry | 9234269580 | Reassigns benefits to 1 organization |
| O20100930087950 | MI | DME Supplier - Physician - Optometrist | 1951429356 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Menominee, MI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peter J. Kurtz, O.D., LLC | Optometrist | Current |
Accepting new patients |
Locations
801 1st St
Menominee, MI 49858
Phone (906) 863-2330
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901002914 | MI | Yes |
Addresses
Primary practice location
801 1St St
Menominee, MI 49858-3231
Mailing address
801 1St St
Menominee, MI 49858-3231
Phone (906) 863-2330
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5105883 | Medicaid | MI | |
| 38523800 | Medicaid | WI |
Other providers in Menominee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.