Provider Demographics
NPI:1992733273
Name:BARE, CURTIS VERNON (O D)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:VERNON
Last Name:BARE
Suffix:
Gender:M
Credentials:O D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1114 EMMET STREET
Mailing Address - Street 2:SUITE D
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-4835
Mailing Address - Country:US
Mailing Address - Phone:434-971-2020
Mailing Address - Fax:
Practice Address - Street 1:1114 EMMET ST N
Practice Address - Street 2:SUITE D
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-4835
Practice Address - Country:US
Practice Address - Phone:434-971-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000376152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAU35320Medicare UPIN