Individual provider Active NPI

Curtis M. Simmons, O.D.

  • Optometrist
  • Santa Cruz, CA
National Provider Identifier
1821069154
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 7576 T Issued in CA
Practice address
1537 Pacific Ave
Suite 100
Santa Cruz, CA 95060-3942
Phone
(831) 429-2020
Fax
(831) 429-2945
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 7576 T CA Primary

Addresses

Primary practice location

1537 Pacific Ave
Suite 100
Santa Cruz, CA 95060-3942

Mailing address

1537 Pacific Ave
Suite 100
Santa Cruz, CA 95060-3942
Phone (831) 429-2020

Other identifiers 1

IdentifierTypeStateIssuer
3464714MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20101111000661 CA Practitioner - Optometry 7719172147 Receives reassigned benefits from 3 practitioners
Practice locations: Santa Cruz, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 7576 TCAMDOptometrist

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1821069154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 PACIFIC AVE",
            "address_2": "SUITE 100",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603942",
            "telephone_number": "831-429-2020",
            "fax_number": "831-429-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 PACIFIC AVE",
            "address_2": "SUITE 100",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603942",
            "telephone_number": "831-429-2020",
            "fax_number": "831-429-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "CURTIS",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 7576 T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3464714",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.