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NPI Code Detail

MEDICARE: CHRISTENSEN EYECARE, P.A.

MEDICARE: CHRISTENSEN EYECARE, P.A.
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
1152W00000XOptometrist1545KS

General Provider Information

NPI Number : 1255507448
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRISTENSEN EYECARE, P.A.
Provider Business Mailing Address
First Line : 1911 ELBOW BND
Second Line :
City : DODGE CITY
State : KS
Zip : 67801-2941
Country : US
Telephone Number : 620-227-5433
Fax Number :
Provider Business Practice Location Address
First Line : 1905 N 14TH AVE
Second Line :
City : DODGE CITY
State : KS
Zip : 67801-2304
Country : US
Telephone Number : 620-227-5433
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. ROB CHISTENSEN
Credential : O.D.
Telephone Number : 620-227-5433
Provider Enumeration Date : 05/07/2008
Last Update Date : 05/07/2008

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Directions to “CHRISTENSEN EYECARE, P.A. ” Practice Location

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