NPIMap

Organization Active NPI

Curtis E. Roberson,OD Inc

  • Optometrist
  • Yukon, OK
National Provider Identifier
1881844249
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
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
Last updated
Nov 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Dr. Curtis E. Roberson, ODNPI 1477634079
Title
Owner-President
Phone
(405) 354-6614

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 855 OK Primary

Addresses

Primary practice location

1221 S Holly Ave
Yukon, OK 73099-3839

Mailing address

1221 S Holly Ave
Yukon, OK 73099-3839
Phone (405) 354-6614

National Provider Directory

National Provider Directory

Locations

1221 Holly Ave
Yukon, OK 73099
Phone (405) 354-6614

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • 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.