Griffin Christenson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3697-35 Issued in WI

Practice address

2215 Vine St Ste E
Hudson, WI 54016-5862

Phone

(715) 381-1234

NPI assigned

Aug 2, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Wisconsin Professional LTDGroup PAC ID 1557372968, 16 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aeg Wisconsin Professional LTD

  dba Christenson Vision Care

  • Optometrist
  • Hudson, WI
  • NPI 1407801087
  Medicare reassignment Care Compare group NPD
• Gryfn Ai, Inc

  • Optometrist
  • Woodbury, MN
  • NPI 1245928944
  NPD Authorized official

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1073287322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 VINE ST STE E",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540165862",
            "telephone_number": "715-381-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 VINE ST STE E",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540165862",
            "telephone_number": "715-381-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSON",
        "first_name": "GRIFFIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3697-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivea Chambers
• Chiro One Wellness Center of Hudson LLC
• Nicole Marie Chisholm, OTR/L
• Choicepoints LLC
• Garth Neil Christenson, O.D.
• Christian Community Home of Hudson, Inc (Christian Community Home)
• Christopher Buege DDS Dba Grandview Dental (Grandview Dental)
• Qin Chu, L.AC.
• Anna Church
• City of Hudson (City of Hudson - St. Croix EMS)

• Optometrist in Hudson, WI
• Providers in Hudson, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.