Individual provider Active NPI

Diana Lynn Christensen, O.D.

  • Optometrist
  • Bloomington, IN
National Provider Identifier
1194987131
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003506A Issued in IN
Practice address
3205 West State Road 45
Christensen Eye Care
Bloomington, IN 47403
Phone
(812) 333-8912
Fax
(812) 333-8918
NPI assigned
Jul 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003506A IN Primary

Addresses

Primary practice location

3205 West State Road 45
Christensen Eye Care
Bloomington, IN 47403

Mailing address

3655 S Sare Rd
Bloomington, IN 47401-4173
Phone (812) 727-7444

Other practice location 1

3655 S Sare Rd
Bloomington, IN 47401-4173
Phone (812) 727-7444

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20090204000061 IN Practitioner - Optometry 4981768017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3655 S Sare Rd
Bloomington, IN 47401-4173
Phone (812) 727-7444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allure Eyecare LLC Optometrist CurrentSince Jan 6, 2022 Accepting new patients
Major Hospital Past Accepting new patients
Richard & Armstrong Optometry Optometrist Past Accepting new patients

Locations

3655 S Sare Rd
Bloomington, IN 47401
Phone (812) 727-7444

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1194987131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 S SARE RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474014173",
            "telephone_number": "812-727-7444",
            "fax_number": "812-727-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 WEST STATE ROAD 45",
            "address_2": "CHRISTENSEN EYE CARE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47403",
            "telephone_number": "812-333-8912",
            "fax_number": "812-333-8918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3655 S Sare Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474014173",
            "country_code": "US",
            "telephone_number": "812-727-7444",
            "fax_number": "812-727-7445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "DIANA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003506A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.