Individual provider Active NPI

Connor David Christensen, OD

  • Optometrist
  • Green Valley, AZ
National Provider Identifier
1730762154
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002491 Issued in AZ
Practice address
560 E Continental Rd Unit 104
Green Valley, AZ 85614-1825
Phone
(520) 625-5673
Fax
(520) 625-6259
NPI assigned
May 3, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT-002491 AZ Primary

Addresses

Primary practice location

560 E Continental Rd Unit 104
Green Valley, AZ 85614-1825

Mailing address

560 E Continental Rd Unit 104
Green Valley, AZ 85614-1825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210624001798 AZ Practitioner - Optometry 4082015326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista Eye Care, PLCGroup PAC ID 6406955731, 9 clinicians

Practice addresses (Care Compare)

560 E Continental Rd
Unit 104
Green Valley, AZ 85614-1825
Phone (520) 625-5673

Merit-based Incentive Payment System (MIPS)

Final score
97.51 of 100Reported as individual
Quality
95.02
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Eye Care, PLC Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Catalina Eye Care PC PastSince May 9, 2021 Accepting new patients

Locations

560 E Continental Rd
Unit 104
Green Valley, AZ 85614
Phone (520) 576-5110

8140 S Houghton Rd
Ste 140
Tucson, AZ 85747
Phone (520) 664-9801

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1730762154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 E CONTINENTAL RD UNIT 104",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856141825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 E CONTINENTAL RD UNIT 104",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856141825",
            "telephone_number": "520-625-5673",
            "fax_number": "520-625-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "CONNOR",
        "middle_name": "DAVID",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

Verify at the official NPI Registry.