Organization Active NPI

Christensen Eye Care LLC

  • Optometrist
  • Bloomington, IN
National Provider Identifier
1043457450
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CHRISTENSEN EYE CARE LLC
Practice address
3205 W State Road 45
Bloomington, IN 47403-5107
Phone
(812) 333-8912
Fax
(812) 333-8918
NPI assigned
Jan 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Dr. Diana Lynn Christensen, O.D.
Title
Ceo
Phone
(812) 336-0155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3205 W State Road 45
Bloomington, IN 47403-5107

Mailing address

3630 S Wickens St
Bloomington, IN 47403-4594
Phone (812) 336-0155

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1043457450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 S WICKENS ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034594",
            "telephone_number": "812-336-0155",
            "fax_number": "812-333-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 W STATE ROAD 45",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035107",
            "telephone_number": "812-333-8912",
            "fax_number": "812-333-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTENSEN EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-336-0155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.