Christensen Eyecare, PC
Organization Active NPI Optometrist · Clinton, UT
NPI 1407955255 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1407955255
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 277549 (UT)
- Legal business name
- CHRISTENSEN EYECARE, PC
- Practice address
- 1632 N 2000 W
Clinton, UT 84015-8367 - Phone
- (801) 779-3806
- Fax
- (801) 779-3807
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Gene C Christensen, O.D.
- Title
- Owner
- Phone
- (801) 554-0109
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 277549 | UT | Yes |
Addresses
Primary practice location
1632 N 2000 W
Clinton, UT 84015-8367
Mailing address
1632 N 2000 W
Clinton, UT 84015-8367
Phone (801) 779-3806
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52813876001 | Medicaid | UT |
Other providers in Clinton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.