Healthcare Provider Details

I. General information

NPI: 1427543933
Provider Name (Legal Business Name): CHRISTINA MARIE STREFF O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2018
Last Update Date: 10/06/2020
Certification Date: 10/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 E NORTHFIELD DR STE 600
BROWNSBURG IN
46112-2435
US

IV. Provider business mailing address

480 E NORTHFIELD DR STE 600
BROWNSBURG IN
46112-2435
US

V. Phone/Fax

Practice location:
  • Phone: 317-852-4751
  • Fax: 317-852-4671
Mailing address:
  • Phone: 317-852-4751
  • Fax: 317-852-4671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number18004107A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: