Provider Demographics
NPI:1720511264
Name:CURTIS OPTOMETRY GROUP PLLC
Entity Type:Organization
Organization Name:CURTIS OPTOMETRY GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PHILIP
Authorized Official - Last Name:NAIL
Authorized Official - Suffix:JR
Authorized Official - Credentials:OD
Authorized Official - Phone:662-328-5225
Mailing Address - Street 1:PO BOX 9099
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39705-0038
Mailing Address - Country:US
Mailing Address - Phone:662-328-5225
Mailing Address - Fax:662-327-5950
Practice Address - Street 1:1823 5TH ST N
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-2203
Practice Address - Country:US
Practice Address - Phone:662-328-5225
Practice Address - Fax:662-327-5950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-11
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty