Provider Demographics
NPI:1003077926
Name:CURRAN, PATRICK BRUCE (OD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:BRUCE
Last Name:CURRAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5049 VALLEY VIEW BLVD NW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24012-2074
Mailing Address - Country:US
Mailing Address - Phone:540-362-7565
Mailing Address - Fax:540-563-0441
Practice Address - Street 1:5049 VALLEY VIEW BLVD NW STE A
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24012-2075
Practice Address - Country:US
Practice Address - Phone:540-362-7565
Practice Address - Fax:540-563-0441
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001763152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAPENDINGMedicaid
VAPENDINGMedicaid