Organization Active NPI

Christie Vision Care, LLC

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1235361387
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003580A Issued in IN
Legal business name
CHRISTIE VISION CARE, LLC
Practice address
6845 Bluff Rd
Ste. # 26
Indianapolis, IN 46217-3926
Phone
(317) 660-6445
NPI assigned
Aug 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Authorized official

Name
Dr. Colin C Christie, O.D.NPI 1245467877
Title
Owner
Phone
(317) 987-8720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18003580A IN Primary

Addresses

Primary practice location

6845 Bluff Rd
Ste. # 26
Indianapolis, IN 46217-3926

Mailing address

6845 Bluff Rd
Ste. # 26
Indianapolis, IN 46217-3926
Phone (317) 660-6445

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090826000712 IN Part B Supplier - Clinic/Group Practice 4486709466 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

6845 Bluff Rd
Ste 26
Indianapolis, IN 46217
Phone (317) 534-5141

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1235361387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 BLUFF RD",
            "address_2": "STE. # 26",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462173926",
            "telephone_number": "317-660-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 BLUFF RD",
            "address_2": "STE. # 26",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462173926",
            "telephone_number": "317-660-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIE VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "CHRISTIE",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-987-8720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003580A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.