Christen Roberson Clift, O.D.
Individual provider Active NPI Optometrist · Chickasha, OK
NPI 1922015197 · NPPES record last updated Feb 13, 2012
Key facts
- NPI
- 1922015197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2155 (OK)
- Practice address
- 619 W Chickasha Ave
Chickasha, OK 73018-2413 - Phone
- (405) 224-5342
- Fax
- (405) 222-2819
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 1995
- Medicare assignment
- May accept Medicare assignment
- Group practices
- John B Minnett OD Inc
Practice addresses (Care Compare)
619 W Chickasha Ave
Chickasha, OK 73018-2413
Phone (405) 224-5342
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 74 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120507000442 | OK | Practitioner - Optometry | 1355337676 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John B. Minnett, O.D. Inc. | Optometrist | Current |
Accepting new patients |
Locations
619 W Chickasha Ave
Chickasha, OK 73018
Phone (405) 224-5342
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2155 | OK | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100732660A | Medicaid | OK | |
| 100766310D | Medicaid | OK |
Other providers in Chickasha, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2012. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.