NPIMap

Organization Active NPI

S L Christensen O D & Assoc P C

  • Optometrist
  • Kennewick, WA
National Provider Identifier
1649501651
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AZ0037 Issued in AZ
Legal business name
S L CHRISTENSEN O D & ASSOC P C
Practice address
1321 N Columbia Center Blvd
Suite 419
Kennewick, WA 99336-2455
Phone
(509) 735-3022
Fax
(509) 736-2367
NPI assigned
Jan 15, 2010
Last updated
Oct 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Dede Ann Christensen
Title
Office Manager
Phone
(509) 820-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X AZ0037 AZ Primary

Addresses

Primary practice location

1321 N Columbia Center Blvd
Suite 419
Kennewick, WA 99336-2455

Mailing address

1321 N Columbia Center Blvd Ste 419
Kennewick, WA 99336-7184
Phone (509) 820-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150902000312 WA Part B Supplier - Clinic/Group Practice 6406982289 Receives reassigned benefits from 1 practitioner
Practice locations: Kennewick, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1649501651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 N COLUMBIA CENTER BLVD STE 419",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367184",
            "telephone_number": "509-820-2500",
            "fax_number": "509-491-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N COLUMBIA CENTER BLVD",
            "address_2": "SUITE 419",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362455",
            "telephone_number": "509-735-3022",
            "fax_number": "509-736-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S L CHRISTENSEN O D & ASSOC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "DEDE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-820-2500"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ0037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.