Active NPI
Christine Fawn Unger, O.D.
- Optometrist
- Colorado Springs, CO
National Provider Identifier
1053530972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1791
- Practice address
- 5045 Manzana Dr
Colorado Springs, CO 80911-1241 - Phone
- (719) 761-7983
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1791 | CO | Primary |
Addresses
Primary practice location
5045 Manzana Dr
Colorado Springs, CO 80911-1241
Mailing address
5045 Manzana Dr
Colorado Springs, CO 80911-1241
Phone (719) 761-7983
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04020624 | Medicaid | CO | |
| 08017915 | Medicaid | CO | |
| 81IE00GA | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1791 | CO | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1053530972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5045 MANZANA DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809111241",
"telephone_number": "719-761-7983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5045 MANZANA DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809111241",
"telephone_number": "719-761-7983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNGER",
"first_name": "CHRISTINE",
"middle_name": "FAWN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "1791",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04020624",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08017915",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "81IE00GA",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.