Active NPI
Garth Neil Christenson, O.D.
- Optometrist
- Hudson, WI
National Provider Identifier
1346226560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1992-35
- Practice address
- 2215 Vine St
Ste E
Hudson, WI 54016-5802 - Phone
- (715) 381-1234
- Fax
- (715) 381-5357
- NPI assigned
- Dec 20, 2005
- Last updated
- Aug 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1992-35 | WI | Primary |
| Pediatric Optometrist | 152WP0200X | 1992-35 | WI |
Addresses
Primary practice location
2215 Vine St
Ste E
Hudson, WI 54016-5802
Mailing address
2215 Vine St
Ste E
Hudson, WI 54016-5802
Phone (715) 381-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2215 Vine St
Suite E
Hudson, WI 54016-5862
Phone (715) 381-1234
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Wisconsin Professional LTD | Optometrist | Current | Accepting new patients |
Locations
2215 Vine St
Ste E
Hudson, WI 54016
Phone (715) 381-1234
Organizations & group practices 1
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": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1346226560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 VINE ST",
"address_2": "STE E",
"city": "HUDSON",
"state": "WI",
"postal_code": "540165802",
"telephone_number": "715-381-1234",
"fax_number": "715-381-5357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 VINE ST",
"address_2": "STE E",
"city": "HUDSON",
"state": "WI",
"postal_code": "540165802",
"telephone_number": "715-381-1234",
"fax_number": "715-381-5357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSON",
"first_name": "GARTH",
"middle_name": "NEIL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "1992-35",
"primary": true
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "WI",
"license": "1992-35",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, WI
- Rachel L Chaltry, DO
- Olivea Chambers
- Chiro One Wellness Center of Hudson LLC
- Nicole Marie Chisholm, OTR/L
- Choicepoints LLC
- Griffin Christenson, OD
- Christian Community Home of Hudson, Inc (Christian Community Home)
- Christopher Buege DDS Dba Grandview Dental (Grandview Dental)
- Qin Chu, L.AC.
- Anna Church
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.