Provider Demographics
NPI:1487151403
Name:CURTIS, ALEXANDER FORD (OD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:FORD
Last Name:CURTIS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6203 HAVERFORD AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-2011
Mailing Address - Country:US
Mailing Address - Phone:317-513-3234
Mailing Address - Fax:
Practice Address - Street 1:3850 PAXTON AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45209-2399
Practice Address - Country:US
Practice Address - Phone:513-893-8816
Practice Address - Fax:513-893-3377
Is Sole Proprietor?:No
Enumeration Date:2018-04-06
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18004089A152W00000X
OHOPT.006738152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist