Christensen Eyecare Professionals

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

2803 Issued in WI

Legal business name

CHRISTENSEN EYECARE PROFESSIONALS

Practice address

443 Pewaukee Rd
Costco Optical
Pewaukee, WI 53072-5886

Phone

(262) 956-6715

NPI assigned

Sep 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nina Pham Christensen, OD

Title

Optometrist

Phone

(262) 893-4396

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1972798577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W143N6156 RED OAK CT",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530515895",
            "telephone_number": "262-893-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 PEWAUKEE RD",
            "address_2": "COSTCO OPTICAL",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725886",
            "telephone_number": "262-956-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTENSEN EYECARE PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "PHAM",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "262-893-4396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "WI",
            "license": "2803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38609900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Castillo
• Bartlomiej Celer, OD
• Philip Chard, MS, LCSW
• Mary Beth Checkai, APNP
• Children'S Medical Group
• Hubert A Cios, M.D.
• Kelsey Lynne Cobler
• Sheryl Lynn Conrad
• Jeffrey Miles Coppage, M.D.
• Jessica Dawn Marie Corey, LPC

• All providers in Pewaukee, WI
• Point of Service in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.