Individual provider Active NPI

Christen Roberson Clift, O.D.

  • Optometrist
  • Chickasha, OK
National Provider Identifier
1922015197
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2155 Issued in OK
Practice address
619 W Chickasha Ave
Chickasha, OK 73018-2413
Phone
(405) 224-5342
Fax
(405) 222-2819
NPI assigned
Aug 1, 2006
Last updated
Feb 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2155 OK Primary

Addresses

Primary practice location

619 W Chickasha Ave
Chickasha, OK 73018-2413

Mailing address

PO Box 1599
Chickasha, OK 73023-1599
Phone (405) 224-5342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20120507000442 OK Practitioner - Optometry 1355337676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices
John B Minnett OD IncGroup PAC ID 3274529599, 2 clinicians

Practice addresses (Care Compare)

619 W Chickasha Ave
Chickasha, OK 73018-2413
Phone (405) 224-5342

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John B. Minnett, O.D. Inc. Optometrist CurrentSince Apr 5, 1999 Accepting new patients

Locations

619 W Chickasha Ave
Chickasha, OK 73018
Phone (405) 224-5342

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1922015197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1599",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730231599",
            "telephone_number": "405-224-5342",
            "fax_number": "405-222-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 W CHICKASHA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182413",
            "telephone_number": "405-224-5342",
            "fax_number": "405-222-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFT",
        "first_name": "CHRISTEN",
        "middle_name": "ROBERSON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chickasha, OK

Sources for this page

Verify at the official NPI Registry.