Provider Demographics
NPI:1275225377
Name:FRITTS-DAVIS, CURT TIMOTHY (OD, MS)
Entity type:Individual
Prefix:
First Name:CURT
Middle Name:TIMOTHY
Last Name:FRITTS-DAVIS
Suffix:
Gender:M
Credentials:OD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 MAIN ST STE 101
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98248-9454
Mailing Address - Country:US
Mailing Address - Phone:336-904-1217
Mailing Address - Fax:
Practice Address - Street 1:1815 MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:WA
Practice Address - Zip Code:98248-9454
Practice Address - Country:US
Practice Address - Phone:336-904-1217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-25
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD61602126152W00000X
OHOPT.007166152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist