Healthcare Provider Details

I. General information

NPI: 1538285010
Provider Name (Legal Business Name): DR. CHRISTINA VAKALERIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4729 REED RD
COLUMBUS OH
43220-3051
US

IV. Provider business mailing address

4266 DUBLIN RD
COLUMBUS OH
43221-5000
US

V. Phone/Fax

Practice location:
  • Phone: 614-326-2020
  • Fax:
Mailing address:
  • Phone: 614-527-6937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4703
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: