MEDICARE: DR. MICHAEL EUGENE CHRISTMAN O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152WC0802X	Corneal and Contact Management Optometrist	OPC1210	FL

General Provider Information

NPI Number	:	1467514851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL EUGENE CHRISTMAN O.D.

Provider Business Mailing Address
First Line	:	343 WESTSHORE PLZ
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-1812
Country	:	US
Telephone Number	:	813-286-8400
Fax Number	:	813-286-8537

Provider Business Practice Location Address
First Line	:	343 WESTSHORE PLZ
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-1812
Country	:	US
Telephone Number	:	813-286-8400
Fax Number	:	813-286-8537

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	07/08/2007

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