MEDICARE: DR. TODD WILLIAM CHRISTENSEN 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	1887	IA

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
2	67393	OTHER	IA	COVENTRY HEALTH CARE
3	910345	OTHER	IA	EYEMED

General Provider Information

NPI Number	:	1760536825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TODD WILLIAM CHRISTENSEN O.D.

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	07/08/2007

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Directions to “ DR. TODD WILLIAM CHRISTENSEN O.D.” Practice Location

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