Christina Danielle Canales, O.D.

Individual provider Active NPI Optometrist · Harvest, AL

NPI 1962956326 · NPPES record last updated Dec 13, 2023

Key facts

NPI
1962956326
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
S-D69-TA-A45 (AL)
Practice address
15123 E Limestone Rd
Harvest, AL 35749
Phone
(256) 230-9637
Fax
(256) 230-0143
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
S-D69ALMDOptometrist
S-D69-TA-A45ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
East Limestone Eye Care, P.C. Optometrist Current
since Dec 17, 2023
Accepting new patients

Locations

15123 E Limestone Rd
Harvest, AL 35749
Phone (256) 230-9637

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-D69 AL
Optometrist 152W00000X S-D69-TA-A45 AL Yes

Addresses

Primary practice location

15123 E Limestone Rd
Harvest, AL 35749

Mailing address

15123 E Limestone Rd
Harvest, AL 35749
Phone (256) 230-9637

Other providers in Harvest, AL

All providers in Harvest, AL · Optometrist in Alabama

Sources for this page

Verify at the official NPI Registry.