Active NPI
Big Blue Optics, PC
- Optometrist
- Boise, ID
National Provider Identifier
1992808182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODP-100054
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 DirectoryLocations
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.
-
- Corneal and Contact Management Optometrist
- Boise, ID
- NPI 1033302161
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.