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NPI Code Detail

MEDICARE: DR. CHRISTIAN JAY THOMPSON O.D., F.A.A.O.

MEDICARE: DR. CHRISTIAN JAY THOMPSON O.D., F.A.A.O.
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
1152W00000XOptometrist0618001678VA
2152W00000XOptometristOPT-002229AZ
3152W00000XOptometrist2756OK
4152W00000XOptometristOEG003082PA

General Provider Information

NPI Number : 1013912534
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTIAN JAY THOMPSON O.D., F.A.A.O.
Provider Business Mailing Address
First Line : 5069 S AMETHYST RD
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86005-6840
Country : US
Telephone Number : 928-245-3732
Fax Number :
Provider Business Practice Location Address
First Line : 500 INDIANA AVE
Second Line :
City : WINSLOW
State : AZ
Zip : 86047-2169
Country : US
Telephone Number : 928-245-3732
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 02/14/2024

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Directions to “ DR. CHRISTIAN JAY THOMPSON O.D., F.A.A.O.” Practice Location

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