Individual provider Active NPI

Curt Leroy Massengale, O.D.

  • Optometrist
  • Moore, OK
National Provider Identifier
1992729909
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OK1089 Issued in OK
Practice address
2828 N. Broadway Avenue
Moore, OK 73160
Phone
(405) 631-2020
Fax
(405) 631-2114
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OK1089 OK Primary

Addresses

Primary practice location

2828 N. Broadway Avenue
Moore, OK 73160

Mailing address

2828 N. Broadway Avenue
Moore, OK 73160
Phone (405) 631-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20111110000250 OK Practitioner - Optometry 9234302563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2828 N Broadway St
Moore, OK 73160-4304
Phone (405) 631-2020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OK1089OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Massengale Eye Care, PLLC Optometrist CurrentSince Aug 4, 2011 Accepting new patients

Locations

2828 N Broadway St
Moore, OK 73160
Phone (405) 631-2020

1901 NW Expressway
Ste 2058
Oklahoma City, OK 73118
Phone (405) 267-2020

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_massengaleeye
  • Direct secure messaging: massengaleeyecenter.curtmassengale@135180.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1992729909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 N. BROADWAY AVENUE",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "73160",
            "telephone_number": "405-631-2020",
            "fax_number": "405-631-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 N. BROADWAY AVENUE",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "73160",
            "telephone_number": "405-631-2020",
            "fax_number": "405-631-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSENGALE",
        "first_name": "CURT",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "OK1089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.