Christensen Optometry a Professional Limited Liability Com

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

7044278-9934 Issued in UT

Legal business name

CHRISTENSEN OPTOMETRY A PROFESSIONAL LIMITED LIABILITY COM

Practice address

1905 S 300 W
Salt Lake City, UT 84115-1806

Phone

(801) 478-2745

NPI assigned

Jan 8, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Nathan Richard Christensen, OD

Title

Doctor

Phone

(801) 657-0061

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1144467424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11223 TRENT DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954005",
            "telephone_number": "801-657-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 S 300 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841151806",
            "telephone_number": "801-478-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTENSEN OPTOMETRY A PROFESSIONAL LIMITED LIABILITY COM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "801-657-0061",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "UT",
            "license": "7044278-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ben Shader Chortkoff, MD
• Susan Crawford Chortkoff, M.D.
• Joshua Chow
• Chris Wehl, PH.D., Inc.
• Patricia Chrisler, OT
• Nancy Christensen-Mayer, S.P.
• Amanda Christensen
• Amanda Sue Christensen, R.D.H.
• Amy Christensen
• Amylyn Christensen

• Exclusive Provider Organization in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Exclusive Provider Organization in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.