NPIMap

Organization Active NPI

Curtis L. Dix, OD, PC

Doing business as Madras Vision Source

  • Optometrist
  • Madras, OR
National Provider Identifier
1982889143
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1381T Issued in OR
Legal business name
CURTIS L. DIX, OD, PC
Doing business as
Madras Vision Source
Practice address
211 SE 5TH St
Madras, OR 97741-1603
Phone
(541) 475-2020
Fax
(541) 475-6118
NPI assigned
Jan 7, 2008
Last updated
Jul 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Authorized official

Name
Dr. Curtis Lee Dix, O.D.NPI 1164422101
Title
Optometrist
Phone
(541) 475-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1381T OR Primary

Addresses

Primary practice location

211 SE 5TH St
Madras, OR 97741-1603

Mailing address

211 SE 5TH St
Madras, OR 97741-1603
Phone (541) 475-2020

Other identifiers 1

IdentifierTypeStateIssuer
218107MedicaidOR

Other names 1

  • Madras Vision Source Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1982889143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SE 5TH ST",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977411603",
            "telephone_number": "541-475-2020",
            "fax_number": "541-475-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SE 5TH ST",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977411603",
            "telephone_number": "541-475-2020",
            "fax_number": "541-475-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURTIS L. DIX, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "DIX",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "541-475-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1381T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218107",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madras Vision Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madras, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.