Provider Demographics
NPI:1386837193
Name:CURTIS, ERIN M (OD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:M
Last Name:CURTIS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 E FRONT ST
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-1974
Mailing Address - Country:US
Mailing Address - Phone:732-741-0170
Mailing Address - Fax:732-741-2808
Practice Address - Street 1:41 E FRONT ST
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-1974
Practice Address - Country:US
Practice Address - Phone:732-741-0170
Practice Address - Fax:732-741-2808
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00610900152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ124004X8ZMedicare UPIN
NJ6178970001Medicare NSC