MEDICARE: DR. STEPHEN H CHRISTY 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	1054-2	KS
2	152W00000X	Optometrist	2245	MO

General Provider Information

NPI Number	:	1619090792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN H CHRISTY O.D.

Provider Business Mailing Address
First Line	:	1905 SWIFT
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116
Country	:	US
Telephone Number	:	816-221-5939
Fax Number	:	816-221-8705

Provider Business Practice Location Address
First Line	:	1905 SWIFT
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116
Country	:	US
Telephone Number	:	816-221-5939
Fax Number	:	816-221-8705

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

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	08/27/2008

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Directions to “ DR. STEPHEN H CHRISTY O.D.” Practice Location

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