Active NPI
William J Christie, MD Inc
- Ophthalmology Physician
- Brea, CA
National Provider Identifier
1265687115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A26191
- Legal business name
- WILLIAM J CHRISTIE, MD INC
- Practice address
- 2650 E Imperial Hwy
Suite 202
Brea, CA 92821-6103 - Phone
- (714) 524-3054
- Fax
- (714) 524-3094
- NPI assigned
- Nov 19, 2008
- 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. William J Christie, MD
- Title
- Owner
- Phone
- (714) 524-3054
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A26191 | CA | Primary |
Addresses
Primary practice location
2650 E Imperial Hwy
Suite 202
Brea, CA 92821-6103
Mailing address
4032 Grandview Dr
Brea, CA 92823-1068
Phone (714) 524-3054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A261910 | Other | CA | MEDICARE NORTHERN CALIFORNIA |
Other names 1
- Vision Care Network
National Provider Directory
National Provider DirectoryLocations
2650 E Imperial Hwy
Ste 202
Brea, CA 92821
Phone (714) 524-3054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227052800000",
"number": "1265687115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4032 GRANDVIEW DR",
"city": "BREA",
"state": "CA",
"postal_code": "928231068",
"telephone_number": "714-524-3054",
"fax_number": "714-524-3094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 E IMPERIAL HWY",
"address_2": "SUITE 202",
"city": "BREA",
"state": "CA",
"postal_code": "928216103",
"telephone_number": "714-524-3054",
"fax_number": "714-524-3094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM J CHRISTIE, MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-19",
"last_updated": "2008-11-19",
"status": "A",
"authorized_official_last_name": "CHRISTIE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-524-3054",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CA",
"license": "A26191",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NORTHERN CALIFORNIA",
"identifier": "00A261910",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vision Care Network",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.