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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Kurtis M. Carlson, O.D.

Optometrist in Quincy, IL · enumerated 2006 · practices at 20 20 Eyecare Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104930601

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Registry record

Entity type Individual (Type 1)
Name Dr. Kurtis M. Carlson
Credential O.D.
Sex Male
Practice address Quincy, IL, 62305
Phone (217) 222-2020
Fax (217) 223-9582
Enumeration date Aug 19, 2006
Last updated in NPPES May 29, 2015

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 046-008272 (IL) Primary
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier Type State Issuer
132031 Other IL BLUE CROSS BLUE SHIELD
258761 Other IL HEALTHLINK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1104930601 active?
Yes, as of the latest NPPES snapshot, NPI 1104930601 is active (record last updated 2015-05-29).
How do I verify Kurtis Carlson's NPI record?
Cross-check NPI 1104930601 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-05-29.