Kurtis M. Carlson is a Optometrist in Quincy, Illinois. Kurtis M. Carlson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kurtis M. Carlson is 1104930601. The last update date is 2015-05-29.
Kurtis M. Carlson's current location address is 4929 Oak Street, Quincy, Illinois. You can contact this provider via phone number 2172222020 and fax number 2172239582. The mailing address for Kurtis M. Carlson is 4929 Oak Street, Quincy, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kurtis M. Carlson |
|---|---|
| Address | 4929 Oak Street, Quincy, Illinois |
| Phone Number | 2172222020 |
| Fax Number | 2172239582 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1104930601 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2015-05-29 |
Provider Mailing Address Detail
| Address | 4929 Oak Street |
|---|---|
| City | Quincy |
| State | Illinois (IL) |
| Post Code | 62305 |
| Phone Number | 2172222020 |
| Fax Number | 2172239582 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 046-008272 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 132031 | IL | BLUE CROSS BLUE SHIELD | |
| 258761 | IL | HEALTHLINK |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kurtis M. Carlson by the Centers for Medicare & Medicaid Services?
The Kurtis M. Carlson has been issued the NPI (National Provider Identifier) 1104930601 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kurtis M. Carlson's facilities are situated?
The facilities of Kurtis M. Carlson are physically located at the following address: 4929 Oak Street, Quincy, IL, 62305.
What is Kurtis M. Carlson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kurtis M. Carlson is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104930601 to Kurtis M. Carlson?
The Kurtis M. Carlson received its 1104930601 assignment from the Centers for Medicare & Medicaid Services on 2006-08-19.
As of what date were the details pertaining to Kurtis M. Carlson last refreshed?
The information related to the Kurtis M. Carlson, including its address, specialty, and other relevant details, was last updated on 2015-05-29.