Carmiencke, Christopher
Carmiencke, Christopher is an sole proprietor health care provider with primary practice located at 452 Ne Greenwood Ave , Bend OR 97701-4645. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Carmiencke, Christopher can be contacted via phone (541) 382-5701.Contact Information
Primary practice address
452 Ne Greenwood Ave
Bend OR 97701-4645
Phone: (541) 382-5701
Fax: (541) 382-5702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 1221 ATI | Oregon |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1221 ATI | Oregon |
Profile Details
| NPI number | 1073670170 |
|---|---|
| LBN Legal business name | Carmiencke, Christopher |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Sep 21st, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073670170 | NPPES |
| Oregon | MEDICAID | 03256-5 |
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