Candace C Christen, OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

2960 Issued in MN

Legal business name

CANDACE C CHRISTEN, OD, PA

Practice address

5036 5TH St NE
Columbia Heights, MN 55421-1650

Phone

(612) 310-2203

Fax

(763) 571-5982

NPI assigned

Sep 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Candace Christen, OD

Title

Optometrist

Phone

(612) 310-2203

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1639364169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5036 5TH ST NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554211650",
            "telephone_number": "612-310-2203",
            "fax_number": "763-571-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5036 5TH ST NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554211650",
            "telephone_number": "612-310-2203",
            "fax_number": "763-571-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDACE C CHRISTEN, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "CHRISTEN",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "612-310-2203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "537K5JC",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Columbia Heights, MN
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• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.