Christopherson Eye Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CHRISTOPHERSON EYE CLINIC

Practice address

341 Keller Ave N
Amery, WI 54001-1037

Phone

(715) 268-2020

Fax

(715) 268-5432

NPI assigned

Jun 26, 2019

Organization subpart

No

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

Authorized official

Name

Bryce Alan Christopherson, ODNPI 1427321504

Title

Owner

Phone

(715) 268-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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.

• Bryce Alan Christopherson, OD

  • Optometrist
  • Amery, WI
  • NPI 1427321504
  Medicare reassignment NPD Authorized official
• Terry Lynn Christopherson, OD

  • Optometrist
  • Amery, WI
  • NPI 1497714554
  NPD

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1659932945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 KELLER AVE N",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011037",
            "telephone_number": "715-268-2020",
            "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": "715-268-2020",
            "fax_number": "715-268-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHERSON EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHERSON",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-268-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aravind Chandra
• Chet Johnson Drug Clinical Services, LLC
• Chet Johnson Drugs, Inc.
• Chet Johnson Drugs, Inc.
• Bonita Anne Christensen, P.T.A.
• Bryce Alan Christopherson, OD
• Terry Lynn Christopherson, OD
• Ashleigh Amber Clemmens, COTA
• Dylan Coe, MD
• Haley Combs

• 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 Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.