Individual provider Active NPI

Jean Christenson, OD

  • Optometrist
  • Ann Arbor, MI
National Provider Identifier
1194865063
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003661 Issued in MI
Practice address
2555 Jackson Ave
Ann Arbor, MI 48103-3818
Phone
(734) 995-4277
Fax
(734) 995-0073
NPI assigned
Feb 8, 2007
Last updated
Mar 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003661 MI Primary

Addresses

Primary practice location

2555 Jackson Ave
Ann Arbor, MI 48103-3818

Mailing address

2555 Jackson Ave
Ann Arbor, MI 48103-3818
Phone (734) 995-4277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20070530000123 MI Practitioner - Optometry 0941307813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SVS Vision IncGroup PAC ID 9931257110, 41 clinicians

Practice addresses (Care Compare)

455 E Grand River Ave
Brighton, MI 48116-1551
Phone (810) 227-2376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SVS Vision Inc Optometrist CurrentSince Sep 1, 2014 Accepting new patients
SVS Vision Inc Optometrist CurrentSince Sep 1, 2014 Accepting new patients
Pearle Vision Inc Optometrist Past Accepting new patients
Pearle Vision Inc Past Accepting new patients

Locations

2555 Jackson Ave
Ann Arbor, MI 48103
Phone (734) 239-8900

6602 Telegraph Rd
Bloomfield Hills, MI 48301
Phone (248) 419-3500

455 E Grand River Ave
Brighton, MI 48116
Phone (810) 227-2376

355 S Broadway St
Lake Orion, MI 48362
Phone (248) 693-8666

106 W 12 Mile Rd
Madison Heights, MI 48071
Phone (248) 414-1900

1314 N Telegraph Rd
Monroe, MI 48162
Phone (734) 243-0195

118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479

22320 Goddard Rd
Taylor, MI 48180
Phone (313) 299-8870

10791 Belleville Rd
Van Buren Township, MI 48111
Phone (734) 391-3080

2742 Washtenaw Rd
Ypsilanti, MI 48197
Phone (734) 572-8822

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1194865063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 JACKSON AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033818",
            "telephone_number": "734-995-4277",
            "fax_number": "734-995-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 JACKSON AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033818",
            "telephone_number": "734-995-4277",
            "fax_number": "734-995-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSON",
        "first_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.