Organization Active NPI

Todd W Christensen OD PLLC

  • Optometrist
  • West Des Moines, IA
National Provider Identifier
1326404898
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
01887 Issued in IA
Legal business name
TODD W CHRISTENSEN OD PLLC
Practice address
1551 Valley West Dr
Suite 100
West Des Moines, IA 50266-1112
Phone
(515) 223-7215
Fax
(515) 223-6333
NPI assigned
Jan 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Todd William Christensen, O.D.NPI 1760536825
Title
Sole Member
Phone
(515) 223-7215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 01887 IA Primary

Addresses

Primary practice location

1551 Valley West Dr
Suite 100
West Des Moines, IA 50266-1112

Mailing address

1551 Valley West Dr
Suite 100
West Des Moines, IA 50266-1112
Phone (515) 223-7215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160125000196 IA Part B Supplier - Clinic/Group Practice 8820391923 Receives reassigned benefits from 1 practitioner
Practice locations: Des Moines, IA; West Des Moines, IA

National Provider Directory

National Provider Directory

Locations

4122 University Ave
Des Moines, IA 50311
Phone (515) 279-3189

1551 Valley West Dr
Ste 100
West Des Moines, IA 50266
Phone (515) 223-7215

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1326404898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 VALLEY WEST DR",
            "address_2": "SUITE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661112",
            "telephone_number": "515-223-7215",
            "fax_number": "515-223-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 VALLEY WEST DR",
            "address_2": "SUITE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661112",
            "telephone_number": "515-223-7215",
            "fax_number": "515-223-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD W CHRISTENSEN OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "515-223-7215",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.