Provider Demographics
NPI:1659368868
Name:ONO, CURTIS ALLEN (OD)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:ALLEN
Last Name:ONO
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 1:2501 N 45TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-6909
Mailing Address - Country:US
Mailing Address - Phone:206-526-5222
Mailing Address - Fax:206-675-1460
Practice Address - Street 1:2501 N 45TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6909
Practice Address - Country:US
Practice Address - Phone:206-526-5222
Practice Address - Fax:206-675-1460
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2087TX152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA117742OtherL&I
WA2020824Medicaid
WA2020824Medicaid