CHRISTENSON VISION CARE LTD (NPI# 1407801087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407801087 |
| Entity Type | Organization |
| Organization Name | CHRISTENSON VISION CARE LTD |
| Other Organization Name | CHRISTENSON VISION CARE |
| Practice Address |
2215 Vine St Suite E Hudson WI 54016-5802 |
| Practice Telephone | 7153811234 |
| Practice Fax Number | 7153815357 |
| Mailing Telephone | 7153811234 |
| Mailing Fax Number | 7153815357 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-04-16 |
| Authorized Official Name | JAYME PEACOCK (INSURANCE SPECIALIST) |
| Authorized Official Telephone | 7153811234 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WP0200X |
Optometrist Specialization: Pediatrics |
1992-035 | WI | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Christenson Vision Care | Doing Business As Name - Organization |
| Street Address |
2215 VINE ST SUITE E |
| City | HUDSON |
| State | WI |
| Zip Code | 54016-5802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346226560 | Garth Neil Christenson | Optometrist | 2215 Vine St, Ste E, Hudson, WI 54016-5802 | 2005-12-20 |
| 1912457003 | Rossodontics Dental Sleep Medicine | Dentist | 2215 Vine St, Suite B, Hudson, WI 54016-5802 | 2016-10-12 |
| 1215051081 | Orthodontic Care Group | Dentist | 2215 Vine St, Hudson, WI 54016-5802 | 2007-03-19 |
| 1679610489 | Hudson Dental | Clinic/Center | 2215 Vine St, Suite D, Hudson, WI 54016-5802 | 2007-01-31 |
| 1972552289 | Micki Maureen Flynn | Optometrist | 2215 Vine St, Suite E, Hudson, WI 54016-5802 | 2006-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921128 | Sara Lynn Henry | Occupational Therapy Assistant | 1320 Wisconsin St., Husdon, WI 54016 | 2018-02-06 |
| 1689003436 | Serving Hands Inc | Home Health | 1419 Boulder Court, Hudson, WI 54016 | 2013-11-02 |
| 1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
| 1710320213 | Emily Ann Stevenson | Counselor | 901 4th St Ste 165, Hudson, WI 54016 | 2013-04-15 |
| 1083972954 | The Shurden Group | In Home Supportive Care | 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 | 2012-04-30 |
| 1124305933 | Robert Michael Catlow-price | Massage Therapist | 131 Carmichael Road, Suite #202, Hudson, WI 54016 | 2011-11-08 |
| 1962780221 | Qin Chu | Acupuncturist | 1615 Maxwell Dr., Suite D, Hudson, WI 54016 | 2011-08-03 |
| 1124324231 | Hung Trieu Lieu | Acupuncturist | 1810 Crest View Dr Ste 4a, Hudson, WI 54016 | 2011-02-07 |
| 1912214966 | Sumac Residential LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 723 B Blue Jay Lane, Hudson, WI 54016 | 2010-09-10 |
| 1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
| Find all providers in zip 54016 | ||||
| Taxonomy Code | 152WP0200X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Pediatrics |
| Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831541887 | Alicia Marie Chacon | Optometrist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2016-07-01 |
Please comment or provide details below to improve the information on CHRISTENSON VISION CARE LTD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.