MEDICARE: DR. CHRISTINA VAKALERIS

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	4703	OH

General Provider Information

NPI Number	:	1538285010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINA VAKALERIS

Provider Business Mailing Address
First Line	:	4266 DUBLIN RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43221-5000
Country	:	US
Telephone Number	:	614-527-6937
Fax Number	:

Provider Business Practice Location Address
First Line	:	4729 REED RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-3051
Country	:	US
Telephone Number	:	614-326-2020
Fax Number	:

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

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	07/08/2007

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