Provider Demographics
NPI:1568455319
Name:OPP, CURTIS DAVID (OD)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:DAVID
Last Name:OPP
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 1:800 CLARK ST
Mailing Address - Street 2:
Mailing Address - City:CHARLES CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50616-2218
Mailing Address - Country:US
Mailing Address - Phone:641-228-1732
Mailing Address - Fax:641-228-2434
Practice Address - Street 1:800 CLARK ST
Practice Address - Street 2:
Practice Address - City:CHARLES CITY
Practice Address - State:IA
Practice Address - Zip Code:50616-2218
Practice Address - Country:US
Practice Address - Phone:641-228-1732
Practice Address - Fax:641-228-2434
Is Sole Proprietor?:No
Enumeration Date:2005-08-26
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA2077152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0144709Medicaid
IA0144709Medicaid
IA55762Medicare ID - Type Unspecified