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Contact Information

CHRISTENSEN EYECARE PROFESSIONALS
443 PEWAUKEE RD
COSTCO OPTICAL
PEWAUKEE, WI53072-5886
 Phone: 262-956-6715
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Point of Service

305S00000X
Indicates primary specialty

NPI Profile & details for CHRISTENSEN EYECARE PROFESSIONALS

NPI # 1972798577
LBN Legal business name CHRISTENSEN EYECARE PROFESSIONALS
Authorized official NINA CHRISTENSEN - (OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 09/07/2007
Last updated 01/12/2016 - About 10 years ago
Identifiers
WI License # 2803
WI Medicaid 38609900
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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