Organization Active NPI

Vanessa Tilley Christopherson OD PLLC

  • Optometrist
  • Dallas, TX
National Provider Identifier
1184916389
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6883TG Issued in TX
Legal business name
VANESSA TILLEY CHRISTOPHERSON OD PLLC
Practice address
6419 Skillman St
Dallas, TX 75231-7109
Phone
(214) 503-0997
NPI assigned
May 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Dr. Vanessa Tilley Christopherson, O.D.
Title
Optometrist/President
Phone
(214) 503-0997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6883TG TX Primary

Addresses

Primary practice location

6419 Skillman St
Dallas, TX 75231-7109

Mailing address

6419 Skillman St
Dallas, TX 75231-7109
Phone (214) 503-0997

Other identifiers 1

IdentifierTypeStateIssuer
205444702MedicaidTX

National Provider Directory

National Provider Directory

Locations

6419 Skillman St
Dallas, TX 75231
Phone (214) 343-7418

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1184916389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6419 SKILLMAN ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752317109",
            "telephone_number": "214-503-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6419 SKILLMAN ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752317109",
            "telephone_number": "214-503-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANESSA TILLEY CHRISTOPHERSON OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHERSON",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "TILLEY",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "214-503-0997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6883TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205444702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.