Individual provider Active NPI

Robert Charles Christ, OD

  • Optometrist
  • Geneva, IL
National Provider Identifier
1326130311
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-008399 Issued in IL
Practice address
1871 S Randall Rd
Geneva, IL 60134-4434
Phone
(630) 377-2020
Fax
(630) 584-2052
NPI assigned
Sep 28, 2006
Last updated
Oct 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-008399 IL Primary

Addresses

Primary practice location

1871 S Randall Rd
Geneva, IL 60134-4434

Mailing address

1871 S Randall Rd
Geneva, IL 60134-4434
Phone (630) 377-2020

Other identifiers 1

IdentifierTypeStateIssuer
1326130311OtherILNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111216000545 IL Practitioner - Optometry 7618142894 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-008399ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care, PC Optometrist CurrentSince Aug 7, 1998 Accepting new patients

Locations

1871 S Randall Rd
Geneva, IL 60134
Phone (630) 208-7810

1871 S Randall Rd
Ste A
Geneva, IL 60134
Phone (630) 377-2020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1326130311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 S RANDALL RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344434",
            "telephone_number": "630-377-2020",
            "fax_number": "630-584-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 S RANDALL RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344434",
            "telephone_number": "630-377-2020",
            "fax_number": "630-584-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRIST",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326130311",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

Verify at the official NPI Registry.