Christopher Carmiencke OD

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

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Carmiencke

Title

Owner

Phone

(541) 382-5701

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Integrated Eyecare Other name

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Leis, O.D.

  • Optometrist
  • San Francisco, CA
  • NPI 1649652009
  NPD
• Abigail Grace Timmerman, OD

  • Optometrist
  • Wailuku, HI
  • NPI 1932723756
  NPD
• Gabrielle Warren Marshall, OD

  • Optometrist
  • Bend, OR
  • NPI 1326122680

  Vision Therapy

  NPD (past)
• Lindsey Broida Kuehl Slinger, O.D.

  • Optometrist
  • Bend, OR
  • NPI 1619329562
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03256-5",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Eyecare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathleen Elizabeth Christensen
• Kelsey D Christensen
• Steven Christensen, D.M.D.
• Stasha Christian
• Liesel Christoe-Frazier, LP, PHD
• James Christopher, CRM
• Molly Christopher
• C. John Chunn, MD
• Elysia Churchman
• Valerie Cieloha

• Vision Therapy Optometrist in Bend, OR
• Providers in Bend, OR by specialty
• Vision Therapy Optometrist in Oregon

• 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.