Individual provider Active NPI

Curtis Vernon Bare, O. D.

  • Optometrist
  • Charlottesville, VA
National Provider Identifier
1992733273
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000376 Issued in VA
Practice address
1114 Emmet St N
Suite D
Charlottesville, VA 22903-4835
Phone
(434) 971-2020
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000376 VA Primary

Addresses

Primary practice location

1114 Emmet St N
Suite D
Charlottesville, VA 22903-4835

Mailing address

1114 Emmet Street
Suite D
Charlottesville, VA 22903-4835
Phone (434) 971-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20040729001571 VA Practitioner - Optometry 6800866484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen T Basic III OD and Associates PLLCGroup PAC ID 4082868989, 5 clinicians

Practice addresses (Care Compare)

1114 Emmet St N
Suite D
Charlottesville, VA 22903-4841
Phone (434) 971-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen T Basic III OD and Associates PLLC Optometrist CurrentSince Jan 1, 2014 Accepting new patients

Locations

1114 Emmet St N
Ste D
Charlottesvle, VA 22903
Phone (434) 971-2020

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992733273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 EMMET STREET",
            "address_2": "SUITE D",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034835",
            "telephone_number": "434-971-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 EMMET ST N",
            "address_2": "SUITE D",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034835",
            "telephone_number": "434-971-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARE",
        "first_name": "CURTIS",
        "middle_name": "VERNON",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.