Healthcare Provider Details

I. General information

NPI: 1255432928
Provider Name (Legal Business Name): CHRISTINA E. GENERIE OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA E. CHO OD

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6230 OLD DOBBIN LN STE 190
COLUMBIA MD
21045-5954
US

IV. Provider business mailing address

6230 OLD DOBBIN LN STE 190
COLUMBIA MD
21045-5954
US

V. Phone/Fax

Practice location:
  • Phone: 443-420-8113
  • Fax: 443-973-6998
Mailing address:
  • Phone: 443-420-8113
  • Fax: 443-973-6998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberDA1997
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOP1000119
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberTA1997
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: