Provider Demographics
NPI:1124164116
Name:CURTIS D. FERRIMAN O.D.
Entity type:Organization
Organization Name:CURTIS D. FERRIMAN O.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:L
Authorized Official - Last Name:HILTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-925-4901
Mailing Address - Street 1:89 E OHIO AVE
Mailing Address - Street 2:
Mailing Address - City:RITTMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44270-1536
Mailing Address - Country:US
Mailing Address - Phone:330-925-4901
Mailing Address - Fax:330-927-5801
Practice Address - Street 1:89 E OHIO AVE
Practice Address - Street 2:
Practice Address - City:RITTMAN
Practice Address - State:OH
Practice Address - Zip Code:44270-1536
Practice Address - Country:US
Practice Address - Phone:330-925-4901
Practice Address - Fax:330-927-5801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4350 T256152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2344190Medicaid
OHFE0729592Medicare ID - Type Unspecified
OH1302700001Medicare NSC
OH2344190Medicaid