Individual provider Active NPI

Rob Dee Christensen, O.D.

  • Corneal and Contact Management Optometrist
  • Boise, ID
National Provider Identifier
1033302161
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
ODP-100054 Issued in ID
Practice address
1410 Broadway Ave
Boise, ID 83706-3706
Phone
(208) 433-1410
Fax
(208) 433-1403
NPI assigned
Aug 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X ODP-100054 ID Primary

Addresses

Primary practice location

1410 Broadway Ave
Boise, ID 83706-3706

Mailing address

3045 E St Lukes St
Ste 100
Meridian, ID 83642-3507
Phone (208) 433-1410

Other identifiers 1

IdentifierTypeStateIssuer
807022800MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050203000270 ID Practitioner - Optometry 5799778643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Treasure Valley Eye Center P aGroup PAC ID 9537161450, 3 clinicians

Practice addresses (Care Compare)

3045 E St Lukes St
Suite 100
Meridian, ID 83642-7833
Phone (208) 288-2020

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODP-100054IDMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Big Blue Optics, PC CurrentSince Oct 17, 2008 Accepting new patients
Treasure Valley Eye Center P a Corneal and Contact Management CurrentSince Jan 14, 2013 Accepting new patients

Locations

1410 S Broadway Ave
Boise, ID 83706
Phone (208) 433-1410

3045 E St Lukes St
Ste 100
Meridian, ID 83642
Phone (208) 288-2020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1033302161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 E ST LUKES ST",
            "address_2": "STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423507",
            "telephone_number": "208-433-1410",
            "fax_number": "208-433-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 BROADWAY AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063706",
            "telephone_number": "208-433-1410",
            "fax_number": "208-433-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "ROB",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "ID",
            "license": "ODP-100054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807022800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.