Healthcare Provider Details
I. General information
NPI: 1588209290
Provider Name (Legal Business Name): CURTS EYECARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/18/2019
Last Update Date: 11/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
480 E NORTHFIELD DR STE 600
BROWNSBURG IN
46112-2435
US
IV. Provider business mailing address
480 E NORTHFIELD DR STE 600
BROWNSBURG IN
46112-2435
US
V. Phone/Fax
- Phone: 317-852-4751
- Fax: 317-852-4671
- Phone: 317-852-4751
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
STEPHANIE
D
CURTS
Title or Position: PRESIDENT
Credential: OD
Phone: 317-852-4751