Provider Demographics
NPI:1952487803
Name:MYERS, CURTIS D (OD)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:D
Last Name:MYERS
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 1:6400 N COSBY AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64151-2377
Mailing Address - Country:US
Mailing Address - Phone:816-587-1320
Mailing Address - Fax:816-587-7485
Practice Address - Street 1:6400 N COSBY AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64151-2377
Practice Address - Country:US
Practice Address - Phone:816-587-1320
Practice Address - Fax:816-587-7485
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOT02700152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0000801Medicare ID - Type Unspecified
MOT73864Medicare UPIN