Organization
CURTIS OPTOMETRIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRBY T TREAT SR. O.D. (OWNER)
(307) 347-4151
Entity
Organization
Contact information
Practice address
316 N 10TH ST, WORLAND, WY 82401-2307
(307) 347-4151
(307) 347-3214
Mailing address
610 S 12TH ST, WORLAND, WY 82401-4007
(307) 347-4151
(307) 347-3214
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106478900
—
WY
01
—
WY4590301
MEDICARE PTAN
WY
Enumeration date
04/23/2007
Last updated
04/28/2009
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