Christenbury Eye Center P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

57056 Issued in NC

Legal business name

CHRISTENBURY EYE CENTER P.A.

Practice address

3621 Randolph Rd
Suite 100
Charlotte, NC 28211-1317

Phone

(704) 332-9365

Fax

(704) 364-7384

NPI assigned

Apr 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan D Christenbury, M.D.

Title

Owner

Phone

(704) 332-9365

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 1

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.

• Samuel Santander, MD

  • Ophthalmology Physician
  • Charlotte, NC
  • NPI 1093790131
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1801851704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 RANDOLPH RD",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111317",
            "telephone_number": "704-332-9365",
            "fax_number": "704-364-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 RANDOLPH RD",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111317",
            "telephone_number": "704-332-9365",
            "fax_number": "704-364-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTENBURY EYE CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "CHRISTENBURY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-332-9365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "57056",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "57056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/NC",
            "identifier": "0286V",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7085246",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890286V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucinda Moody Chreitzberg, CRNA
• Jocelyn Fuller Chrisley
• Christ Centered Community Counseling PLLC
• Christ Palace Ministries International
• Robert Christenbery III, PA
• Elizabeth Shandley Christenbury, LCSW
• Erica Brooke Christenbury, PHARMD
• Jennifer Haster Christenbury, PA
• Smith Christenbury, PT, DPT
• Shauna H Christensen-Peterson, DC

• Ophthalmology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.