Healthcare Provider Details

I. General information

NPI: 1568443349
Provider Name (Legal Business Name): DAVID LAMAR CURTIS OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 05/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 N HIGHWAY 16
DENVER NC
28037-8012
US

IV. Provider business mailing address

324 N HIGHWAY 16
DENVER NC
28037-8012
US

V. Phone/Fax

Practice location:
  • Phone: 704-483-2263
  • Fax: 704-483-6136
Mailing address:
  • Phone: 704-483-2263
  • Fax: 704-483-6136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0876
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: