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Contact Information

CHRISTOPHER CARMIENCKE, OD
452 NE GREENWOOD AVE
BEND, OR97701-4645
 Phone: 541-382-5701
 Fax: 541-382-5702
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for CHRISTOPHER CARMIENCKE · (Male)

NPI Number 1073670170
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/02/2007
Last updated 09/21/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 1221 ATI
  • OR Medicaid 03256-5
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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