NPIMap

Organization Active NPI

Christopher P. Likens & Nancy L. Wilson PTR

Doing business as Woodbridge Optometry

  • Optometrist
  • Irvine, CA
National Provider Identifier
1336262377
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7839T Issued in CA
Legal business name
CHRISTOPHER P. LIKENS & NANCY L. WILSON PTR
Doing business as
Woodbridge Optometry
Practice address
4505 Barranca Pkwy
#C
Irvine, CA 92604-4707
Phone
(949) 857-0676
NPI assigned
Apr 6, 2007
Last updated
Jun 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Authorized official

Name
Dr. Christopher Paul Likens, O.D.NPI 1497827935
Title
Owner
Phone
(949) 857-0676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7839T CA Primary

Addresses

Primary practice location

4505 Barranca Pkwy
#C
Irvine, CA 92604-4707

Mailing address

4505 Barranca Pkwy
#C
Irvine, CA 92604-4707
Phone (949) 857-0676

Other names 1

  • Woodbridge Optometry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1336262377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 BARRANCA PKWY",
            "address_2": "#C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044707",
            "telephone_number": "949-857-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 BARRANCA PKWY",
            "address_2": "#C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044707",
            "telephone_number": "949-857-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER P. LIKENS & NANCY L. WILSON PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "LIKENS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-857-0676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7839T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodbridge Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.