Christopher T Channon, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0038128 Issued in FL

Practice address

2201 S 10TH St
Fort Pierce, FL 34950-5382

Phone

(772) 461-5660

Fax

(772) 468-2134

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• St Lucie Optical Inc

  • Optician
  • Port St Lucie, FL
  • NPI 1477666204
  NPD (past)
• St Lucie Optical West, Inc

  • Optician
  • Fort Pierce, FL
  • NPI 1477906659
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1730193285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 S 10TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349505382",
            "telephone_number": "772-461-5660",
            "fax_number": "772-468-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S 10TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349505382",
            "telephone_number": "772-461-5660",
            "fax_number": "772-468-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANNON",
        "first_name": "CHRISTOPHER",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "0038128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065458200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alden Chacon Veliz, RDH
• Prasad VRK Chalasani, MD
• Richard Walton Chambers, MASTERS DEGREE
• Cassey R Chang, LCSW
• Changing Strides Community Services Inc
• Anna Jose Elissenda Chanoine, M.D.
• Andrew Charitar
• Jean Claudel Charles, DNP, FNP-C
• Olivia Charles, MD
• Yvelande Charles

• Ophthalmology Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.