Provider Demographics
NPI:1003037193
Name:CURTIS VISION CENTER, INC
Entity Type:Organization
Organization Name:CURTIS VISION CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF OPTOMETRY
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:580-326-3336
Mailing Address - Street 1:506 E JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:HUGO
Mailing Address - State:OK
Mailing Address - Zip Code:74743-4000
Mailing Address - Country:US
Mailing Address - Phone:580-326-3336
Mailing Address - Fax:580-326-5424
Practice Address - Street 1:506 E JACKSON ST
Practice Address - Street 2:
Practice Address - City:HUGO
Practice Address - State:OK
Practice Address - Zip Code:74743-4000
Practice Address - Country:US
Practice Address - Phone:580-326-3336
Practice Address - Fax:580-326-5424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1194152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK$$$$$$$$$OtherSOCIAL SECURITY
OK100761580AMedicaid
OK440628653OtherMEDICARE
OKOK02382601OtherBLUE CROSS BLUE SHIELD
OK440628653OtherMEDICARE