Organization Active NPI

William J Christie, MD Inc

  • Ophthalmology Physician
  • Brea, CA
National Provider Identifier
1265687115
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A26191 Issued in CA
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

Updated by the provider on Nov 19, 2008

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00A261910OtherCAMEDICARE NORTHERN CALIFORNIA

Other names 1

  • Vision Care Network Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.