Individual provider Active NPI

Nathan Richard Christensen, O.D.

  • Optometrist
  • Santaquin, UT
National Provider Identifier
1942464284
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7044278-9934 Issued in UT
Practice address
252 W Main St Unit C
Santaquin, UT 84655-7250
Phone
(801) 609-2020
Fax
(844) 221-4750
NPI assigned
Jul 16, 2008
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7044278-9934 UT Primary

Addresses

Primary practice location

252 W Main St Unit C
Santaquin, UT 84655-7250

Mailing address

188 E 200 N
Santaquin, UT 84655-7048
Phone (801) 657-0320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20090210000281 UT Practitioner - Optometry 8921163858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keeneye Family Vision PCGroup PAC ID 4385868108, 2 clinicians

Practice addresses (Care Compare)

252 W Main St
Suite C
Santaquin, UT 84655-7086
Phone (801) 609-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7044278-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Keeneye Family Vision PC Optometrist CurrentSince Apr 5, 2023 Accepting new patients
Central Utah Eye Associates Past Accepting new patients

Locations

111 E Main St
Ste B
Delta, UT 84624
Phone (435) 264-4040

30 N Main St
Fillmore, UT 84631
Phone (435) 743-6572

2696 N University Ave
Ste 100A
Provo, UT 84604

252 W Main St
Unit C
Santaquin, UT 84655
Phone (801) 609-2020

Interoperability endpoints

  • Direct secure messaging: nathan.christensen@direct.revolutionehr.com

Organizations & group practices 2

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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1942464284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 E 200 N",
            "city": "SANTAQUIN",
            "state": "UT",
            "postal_code": "846557048",
            "telephone_number": "801-657-0320",
            "fax_number": "844-221-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 W MAIN ST UNIT C",
            "city": "SANTAQUIN",
            "state": "UT",
            "postal_code": "846557250",
            "telephone_number": "801-609-2020",
            "fax_number": "844-221-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "NATHAN",
        "middle_name": "RICHARD",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "7044278-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santaquin, UT

Sources for this page

Verify at the official NPI Registry.