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NPI Code Detail

MEDICARE: TODD W CHRISTENSEN OD PLLC

MEDICARE: TODD W CHRISTENSEN OD PLLC
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
1152W00000XOptometrist01887IA

General Provider Information

NPI Number : 1326404898
Entity Type Code : Organization
Provider Name (Legal Business Name) : TODD W CHRISTENSEN OD PLLC
Provider Business Mailing Address
First Line : 1551 VALLEY WEST DR
Second Line : SUITE 100
City : WEST DES MOINES
State : IA
Zip : 50266-1112
Country : US
Telephone Number : 515-223-7215
Fax Number : 515-223-6333
Provider Business Practice Location Address
First Line : 1551 VALLEY WEST DR
Second Line : SUITE 100
City : WEST DES MOINES
State : IA
Zip : 50266-1112
Country : US
Telephone Number : 515-223-7215
Fax Number : 515-223-6333
Authorized Official
Title or Position : SOLE MEMBER
Name : TODD WILLIAM CHRISTENSEN
Credential : O.D.
Telephone Number : 515-223-7215
Provider Enumeration Date : 01/13/2016
Last Update Date : 01/13/2016

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Directions to “TODD W CHRISTENSEN OD PLLC ” Practice Location

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