Curtis, Carlyle P.
Curtis, Carlyle P. is an individual health care provider with primary practice located at 2715 Willetta St Sw , Albany OR 97321-3471. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Curtis, Carlyle P. can be contacted via phone (541) 926-5848.Contact Information
Primary practice address
2715 Willetta St Sw
Albany OR 97321-3471
Phone: (541) 926-5848
Fax: (541) 926-2873
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2409AT | Oregon |
Profile Details
| NPI number | 1124053186 |
|---|---|
| LBN Legal business name | Curtis, Carlyle P. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Oct 21st, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124053186 | NPPES |
| Oregon | MEDICAID | 078670 |
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