Organization Active NPI

Big Blue Optics, PC

  • Optometrist
  • Boise, ID
National Provider Identifier
1992808182
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-100054 Issued in ID
Legal business name
BIG BLUE OPTICS, PC
Practice address
1410 Broadway Ave
Boise, ID 83706-3706
Phone
(208) 433-1410
Fax
(208) 433-1403
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Dr. Rob Dee Christensen, O.D.NPI 1033302161
Title
President
Phone
(208) 433-1410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X ODP-100054 ID Primary

Addresses

Primary practice location

1410 Broadway Ave
Boise, ID 83706-3706

Mailing address

1410 Broadway Ave
Boise, ID 83706-3706
Phone (208) 433-1410

National Provider Directory

National Provider Directory

Locations

1410 S Broadway Ave
Boise, ID 83706
Phone (208) 433-1410

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1992808182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 BROADWAY AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063706",
            "telephone_number": "208-433-1410",
            "fax_number": "208-433-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 BROADWAY AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063706",
            "telephone_number": "208-433-1410",
            "fax_number": "208-433-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG BLUE OPTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "ROB",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-433-1410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.