MICHAEL T COURIS MD INC
NPI 1639128804
Ophthalmology in San Diego, CA

Active since May 08, 2006
3969 4TH AVE, STE 301, SAN DIEGO, CA 92103(619) 291-6191(619) 291-0049 Get Directions Write a Review

NPPES record last updated: December 6, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael T Couris Md Inc NPPES

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

MICHAEL T COURIS MD INC (NPI 1639128804) is a healthcare organization registered as an ophthalmology in San Diego, California and active in the NPI registry since May 2006. The organization lists Michael T Couris, President, as its authorized official.

NPPES Registry Identity

NPI1639128804
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMICHAEL T COURIS MD INC
Location Address3969 4TH AVE, STE 301San Diego, CA 92103-3165
Mailing Address3969 4th Ave, Ste 301San Diego, CA 92103-3165 · (619) 291-6191 · Fax (619) 291-0049
Fax(619) 291-0049
Organization SubpartNo
Authorized OfficialMichael T CourisPresident · (619) 291-6191
Enumeration DateMay 8, 2006
Last NPPES UpdateDecember 6, 2013
✔ NPI 1639128804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A53265
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
3969 4TH AVE, San Diego, CA 92103

Other Identifiers 2

Medicare UPING00585
Medicare ID-Type UnspecifiedW19688

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael T Couris Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20081121000643Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Michael T Couris MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ophthalmology
NPI 1063638682
3969 4TH AVE SUITE 301
San Diego, CA 92103
(619) 291-6191
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Courique Optical carries, from the Medicare DMEPOS supplier directory.

Courique Optical

DMEPOS supplier · San Diego, CAOperated by Michael T Couris MD
✔

Accepts Medicare assignment

Courique Optical agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20616929
Medicare Participant SinceMay 15, 2001
Supplier Location3969 4th Ave Ste 301San Diego, CA 92103
Provider TypePhysician – General Practice)
Supplier Specialties
Medical Supply Company Other Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Michael T Couris MD Inc's NPI number?

The NPI number for Michael T Couris MD Inc is 1639128804. It was assigned to this organization in the NPPES registry on May 8, 2006.

Where is Michael T Couris MD Inc located?

Michael T Couris MD Inc is located at 3969 4th Ave Ste 301, San Diego, CA 92103. The listed phone number is (619) 291-6191.

What is Michael T Couris MD Inc's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Michael T Couris MD Inc enrolled in Medicare?

Yes. Michael T Couris MD Inc is registered in the Medicare PECOS enrollment system.

When is Michael T Couris MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Michael T Couris MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Michael T Couris MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Michael T Couris MD Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Courique Optical accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Michael T Couris MD Inc accept?

Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list Michael T Couris MD Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael T Couris MD Inc was last updated on December 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.