Active NPI
Vanessa Tilley Christopherson OD PLLC
- Optometrist
- Dallas, TX
National Provider Identifier
1184916389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6883TG
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205444702 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.