NPIMap

Organization Active NPI

Christopher Carmiencke OD

  • Vision Therapy Optometrist
  • Bend, OR
National Provider Identifier
1891985453
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
OR1221AT Issued in OR
Legal business name
CHRISTOPHER CARMIENCKE OD
Practice address
452 NE Greenwood Ave
Bend, OR 97701-4608
Phone
(541) 382-5701
Fax
(541) 382-5702
NPI assigned
Jul 30, 2007
Last updated
Nov 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Mr. Christopher CarmienckeNPI 1073670170
Title
Owner
Phone
(541) 382-5701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X OR1221AT OR Primary

Addresses

Primary practice location

452 NE Greenwood Ave
Bend, OR 97701-4608

Mailing address

452 NE Greenwood Ave
Bend, OR 97701-4608
Phone (541) 382-5701

Other names 1

  • Integrated Eyecare Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1891985453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 NE GREENWOOD AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014608",
            "telephone_number": "541-382-5701",
            "fax_number": "541-382-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 NE GREENWOOD AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014608",
            "telephone_number": "541-382-5701",
            "fax_number": "541-382-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER CARMIENCKE OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "CARMIENCKE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-382-5701",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "OR",
            "license": "OR1221AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Eyecare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.