Terry Lynn Christopherson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1530035 Issued in WI

Practice address

341 Keller Ave N
Amery, WI 54001-1037

Phone

(715) 268-2004

Fax

(715) 268-5432

NPI assigned

Mar 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Christopherson Eye Clinic

  • Optometrist
  • Amery, WI
  • NPI 1659932945
  NPD

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1497714554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540010076",
            "telephone_number": "715-268-2004",
            "fax_number": "715-268-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 KELLER AVE N",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011037",
            "telephone_number": "715-268-2004",
            "fax_number": "715-268-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOPHERSON",
        "first_name": "TERRY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1530035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38564500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN COM INS CO",
            "identifier": "92262CH",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chet Johnson Drugs, Inc.
• Chet Johnson Drugs, Inc.
• Bonita Anne Christensen, P.T.A.
• Christopherson Eye Clinic
• Bryce Alan Christopherson, OD
• Ashleigh Amber Clemmens, COTA
• Dylan Coe, MD
• Haley Combs
• Stacey R Cunningham, SLP MSE CCC SLP
• Marlee Dachel

• Optometrist in Amery, WI
• Providers in Amery, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.