Active NPI
Christina Ulrich, OD
- Optometrist
- Chesterfield, MO
National Provider Identifier
1285083543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2016015965
- Practice address
- 196 THF Blvd
Chesterfield, MO 63005-1141 - Phone
- (636) 728-0369
- Fax
- (636) 728-0371
- NPI assigned
- Jun 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2016015965 | MO | Primary |
Addresses
Primary practice location
196 THF Blvd
Chesterfield, MO 63005-1141
Mailing address
196 THF Blvd
Chesterfield, MO 63005-1141
Phone (636) 728-0369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016015965 | MO | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1285083543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 THF BLVD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630051141",
"telephone_number": "636-728-0369",
"fax_number": "636-728-0371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 THF BLVD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630051141",
"telephone_number": "636-728-0369",
"fax_number": "636-728-0371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULRICH",
"first_name": "CHRISTINA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-08",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2016015965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.