MEDICARE: DR. CHRISTOPHER P. CIAMPA O.D.

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
1	152W00000X	Optometrist	OPT8948T	CA
2	152WP0200X	Pediatric Optometrist	OPT8948T	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518952498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER P. CIAMPA O.D.

Provider Business Mailing Address
First Line	:	10949 ALONDRA BLVD
Second Line	:
City	:	NORWALK
State	:	CA
Zip	:	90650-5403
Country	:	US
Telephone Number	:	562-864-8590
Fax Number	:	562-462-1465

Provider Business Practice Location Address
First Line	:	10949 ALONDRA BLVD
Second Line	:
City	:	NORWALK
State	:	CA
Zip	:	90650-5403
Country	:	US
Telephone Number	:	562-864-8590
Fax Number	:	562-462-1465

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	10/29/2008

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