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NPI Code Detail

MEDICARE: WILEY F. CURTIS, O.D., P.C.

MEDICARE: WILEY F. CURTIS, O.D., P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332H00000XEyewear Supplier3023TGTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100E43BOTHERTXBLUE CROSS BLUE SHIELD TX

General Provider Information

NPI Number : 1316122278
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILEY F. CURTIS, O.D., P.C.
Provider Business Mailing Address
First Line : 1334 E PIONEER PKWY
Second Line :
City : ARLINGTON
State : TX
Zip : 76010-6411
Country : US
Telephone Number : 814-461-4453
Fax Number : 817-861-2516
Provider Business Practice Location Address
First Line : 1334 E PIONEER PKWY
Second Line :
City : ARLINGTON
State : TX
Zip : 76010-6411
Country : US
Telephone Number : 814-461-4453
Fax Number : 817-861-2516
Authorized Official
Title or Position : PRESIDENT
Name : WILEY F. CURTIS
Credential : O.D.
Telephone Number : 817-461-4453
Provider Enumeration Date : 01/09/2008
Last Update Date : 01/17/2008

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