Individual provider Active NPI

Nicholas C. Christie, O.D.

  • Optometrist
  • Lafayette, CA
National Provider Identifier
1053442798
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5253TPL Issued in CA
Practice address
958 Moraga Rd
Lafayette, CA 94549-4525
Phone
(925) 283-5350
Fax
(925) 283-3881
NPI assigned
Mar 7, 2007
Last updated
Apr 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT5253TPL CA Primary

Addresses

Primary practice location

958 Moraga Rd
Lafayette, CA 94549-4525

Mailing address

958 Moraga Rd
Lafayette, CA 94549-4525
Phone (925) 283-5350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT5253TPLCAMDOptometrist
5253CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1053442798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 MORAGA RD",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494525",
            "telephone_number": "925-283-5350",
            "fax_number": "925-283-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 MORAGA RD",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494525",
            "telephone_number": "925-283-5350",
            "fax_number": "925-283-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIE",
        "first_name": "NICHOLAS",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT5253TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

Verify at the official NPI Registry.