Christensen Eyecare Professionals

LBN: Christensen Eyecare Professionals
Christensen Eyecare Professionals is an health care organization with primary practice located at 443 Pewaukee Rd Costco Optical, Pewaukee WI 53072-5886. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Christensen Eyecare Professionals can be contacted via phone (262) 956-6715, or through Christensen, Nina Pham via phone (262) 893-4396.

Contact Information

Primary practice address
443 Pewaukee Rd Costco Optical Pewaukee WI 53072-5886
Phone: (262) 956-6715
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Christensen, Nina Pham Doctor of Optometry (OD)
Phone: (262) 893-4396

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 2803 Wisconsin

Profile Details

NPI number 1972798577
LBN Legal business name Christensen Eyecare Professionals
DBA Doing business as
Authorized official Christensen, Nina Pham Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2007
Last updated Jan 12th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972798577 NPPES
Wisconsin MEDICAID 38609900

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