Christopher Michael Putnam, O.D., PH.D.
Individual provider Active NPI Optometrist · Little Rock Afb, AR
NPI 1821068859 · NPPES record last updated Apr 23, 2026
Key facts
- NPI
- 1821068859
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 6800TG (TX)
- Practice address
- 1090 Arnold Dr
Little Rock Afb, AR 72099-4933 - Phone
- (501) 987-1906
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160226000901 | TX | Practitioner - Optometry | 1052616182 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6800TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of the Incarnate Word | Optometrist | Current |
Accepting new patients |
| University of the Incarnate Word | Current |
Accepting new patients |
Locations
9725 Datapoint Dr
San Antonio, TX 78229
Phone (210) 283-6800
2547 E Commerce St
San Antonio, TX 78203
Phone (210) 283-6331
9725 Datapoint Dr
#69
San Antonio, TX 78229
Phone (210) 283-6800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6800TG | TX | Yes |
Addresses
Primary practice location
1090 Arnold Dr
Little Rock Afb, AR 72099-4933
Mailing address
1090 Arnold Dr
Little Rock Afb, AR 72099-4933
Other providers in Little Rock Afb, AR
- Leeanne Elizabeth Ogle
- Rito A Orozco Jaramillo
- Kapiolani M Plichta
- Tracy Ann Polly
- Wayne Provines
- Benjamin Lee Reberger III
- Kasey Mitchell Reyes
- Rosten Scott Riggan
- Leah Ritter
- Racheal L Rivera
All providers in Little Rock Afb, AR · Optometrist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.