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NPI Code Detail

MEDICARE: DR. CHRISTOPHER DAVID CHEYNE O.D.

MEDICARE:  DR. CHRISTOPHER DAVID CHEYNE  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
1152W00000XOptometrist5654TGTX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
8P00068420OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
180883QOTHERTXBLUE CROSS BLUE SHIELD
2010794060OTHERTXVISION SERVICE PLAN
31893876OTHERTXUNITED HEALTHCARE
45443298OTHERTXCCN
5010794060OTHERTXPRIVATE HEALTHCARE SYSTEM
630174OTHERTXOPTICARE
75017230001OTHERTXPALMETTO SUPPLIER NUMBER
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
102087860OTHERTXFIRST HEALTH NETWORK

General Provider Information

NPI Number : 1831192962
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER DAVID CHEYNE O.D.
Provider Business Mailing Address
First Line : 4000 E US HIGHWAY 377
Second Line :
City : GRANBURY
State : TX
Zip : 76049-7432
Country : US
Telephone Number : 817-573-7153
Fax Number : 817-573-5640
Provider Business Practice Location Address
First Line : 4000 E US HIGHWAY 377
Second Line :
City : GRANBURY
State : TX
Zip : 76049-7432
Country : US
Telephone Number : 817-573-7153
Fax Number : 817-573-5640
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 03/27/2025

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Directions to “ DR. CHRISTOPHER DAVID CHEYNE O.D.” Practice Location

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