Curtis E. Roberson,OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

855 Issued in OK

Legal business name

CURTIS E. ROBERSON,OD INC

Practice address

1221 S Holly Ave
Yukon, OK 73099-3839

Phone

(405) 354-6614

Fax

(405) 354-6615

NPI assigned

Sep 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Curtis E. Roberson, OD

Title

Owner-President

Phone

(405) 354-6614

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1881844249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S HOLLY AVE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730993839",
            "telephone_number": "405-354-6614",
            "fax_number": "405-354-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S HOLLY AVE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730993839",
            "telephone_number": "405-354-6614",
            "fax_number": "405-354-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURTIS E. ROBERSON,OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "405-354-6614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100764860C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quinnita Crowder
• Earnest Crumbley Jr., B.A. SOCIOLOGY
• Jeanette Cruz
• Jason Shahid Cuff Sr.
• Avery Curd
• Natalie Gail Curtis
• Custom Dental of Yukon, PLLC
• Cutting Edge Physical Therapy PLLC
• Jaelynn Czajkowski
• Damon L Johnson, DDS, PC

• Optometrist in Yukon, OK
• Providers in Yukon, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.