Provider Demographics
NPI:1538597588
Name:MICHAEL A. CURTIS OD PLC
Entity type:Organization
Organization Name:MICHAEL A. CURTIS OD PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:870-358-2236
Mailing Address - Street 1:PO BOX 359
Mailing Address - Street 2:
Mailing Address - City:MARKED TREE
Mailing Address - State:AR
Mailing Address - Zip Code:72365-0359
Mailing Address - Country:US
Mailing Address - Phone:870-358-2236
Mailing Address - Fax:870-358-4692
Practice Address - Street 1:116 NATHAN ST
Practice Address - Street 2:
Practice Address - City:MARKED TREE
Practice Address - State:AR
Practice Address - Zip Code:72365-1448
Practice Address - Country:US
Practice Address - Phone:870-358-2236
Practice Address - Fax:870-358-4692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2676152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty