Active NPI
Brian S Christopherson, O.D.
- Optometrist
- Gonzales, LA
National Provider Identifier
1316163496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1097-220T
- Practice address
- 308 N Airline Hwy
Gonzales, LA 70737-3009 - Phone
- (225) 644-6500
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 1097-220T | LA | Primary |
Addresses
Primary practice location
308 N Airline Hwy
Gonzales, LA 70737-3009
Mailing address
PO Box 7
Brittany, LA 70718-0007
Phone (225) 610-0091
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 |
|---|---|---|---|
| 1097-220T | LA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1316163496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7",
"city": "BRITTANY",
"state": "LA",
"postal_code": "707180007",
"telephone_number": "225-610-0091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 N AIRLINE HWY",
"city": "GONZALES",
"state": "LA",
"postal_code": "707373009",
"telephone_number": "225-644-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTOPHERSON",
"first_name": "BRIAN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1097-220T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.