Provider Demographics
NPI:1083696108
Name:FERRIMAN, CURTIS DONALD (OD)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:DONALD
Last Name:FERRIMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 W HERRICK AVE
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:44090-1250
Mailing Address - Country:US
Mailing Address - Phone:440-647-2112
Mailing Address - Fax:440-647-6135
Practice Address - Street 1:602 WEST HERRICK AVE.
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:OH
Practice Address - Zip Code:44090-1300
Practice Address - Country:US
Practice Address - Phone:440-647-2112
Practice Address - Fax:440-647-6135
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-15
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4350/T256152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2344190Medicaid
OHFE0729593Medicare ID - Type Unspecified
OH2344190Medicaid
OHU38264Medicare UPIN