DR. KURTIS M. CARLSON O.D.
NPI 1104930601
Optometrist in Quincy, IL

Q: What is Kurtis Carlson's NPI number?

The NPI number for Kurtis Carlson is 1104930601. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Q: What is Kurtis Carlson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kurtis Carlson was last updated on May 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 19, 2006

4929 OAK STREET, QUINCY, IL 62305(217) 222-2020(217) 223-9582 Get Directions Write a Review

NPPES record last updated: May 29, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kurtis M. Carlson O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KURTIS M. CARLSON O.D. (NPI 1104930601) is an individual optometrist in Quincy, Illinois, licensed in Illinois (046-008272) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1104930601

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. KURTIS M. CARLSONCredential: O.D.

Location Address4929 OAK STREETQuincy, IL 62305-2839

Mailing Address4929 Oak StreetQuincy, IL 62305 · (217) 222-2020 · Fax (217) 223-9582

Phone(217) 222-2020

Fax(217) 223-9582

Sole ProprietorYes

Enumeration DateAugust 19, 2006

Last NPPES UpdateMay 29, 2015

✔ NPI 1104930601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in IL · 046-008272

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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

4929 OAK STREET, Quincy, IL 62305

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Other Identifiers 4

Other132031IL · Blue Cross Blue Shield

Other258761IL · Healthlink

Medicare UPINU17414IL

Medicare NSC4378400001

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

25 services25 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

20 20 EYECARE INC

Durable Medical Equipment & Medical Supplies

4929 OAK STREET
QUINCY, IL 62305

Adams County (217) 222-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kurtis Carlson's NPI number?

The NPI number for Kurtis Carlson is 1104930601. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Kurtis Carlson located?

Kurtis Carlson practices at 4929 Oak Street, Quincy, IL 62305. The listed phone number is (217) 222-2020.

What is Kurtis Carlson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Kurtis Carlson was last updated on May 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.