Individual provider Active NPI

Stephen Kay Christensen, OD

  • Optometrist
  • Lake Forest, CA
National Provider Identifier
1730216680
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8694T Issued in CA
Practice address
22681 Lake Forest Dr
Ste a-2
Lake Forest, CA 92630-1794
Phone
(949) 837-2121
Fax
(949) 837-6215
NPI assigned
Feb 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8694T CA Primary

Addresses

Primary practice location

22681 Lake Forest Dr
Ste a-2
Lake Forest, CA 92630-1794

Mailing address

22681 Lake Forest Dr
Ste a-2
Lake Forest, CA 92630-1794
Phone (949) 837-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091104000103 CA Practitioner - Optometry 3779621230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

22681 Lake Forest Dr
Suite A2
Lake Forest, CA 92630-1799
Phone (949) 837-2121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8694CAMDAddiction (Substance Use Disorder) Counselor
8694TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fifth Optometric Care of California Optometrist Current Accepting new patients
Fifth Optometric Care of California Optometrist CurrentSince Sep 24, 2023 Accepting new patients
Fifth Optometric Care of California Optometrist CurrentSince Sep 24, 2023 Accepting new patients

Locations

22681 Lake Forest Dr
Ste A2
Lake Forest, CA 92630
Phone (949) 837-2121

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730216680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22681 LAKE FOREST DR",
            "address_2": "STE A-2",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301794",
            "telephone_number": "949-837-2121",
            "fax_number": "949-837-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22681 LAKE FOREST DR",
            "address_2": "STE A-2",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301794",
            "telephone_number": "949-837-2121",
            "fax_number": "949-837-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "STEPHEN",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8694T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

Verify at the official NPI Registry.