NPI 1144467424

Christensen Optometry a Professional Limited Liability Com

Organisation Exclusive Provider Organization Salt Lake City, UT

Practice location

Address: 1905 S 300 W, Salt Lake City, UT 84115-1806
Phone: (801) 478-2745
Mailing address: 11223 Trent Dr, South Jordan, UT 84095-4005

Authorised official

Name: Nathan Richard Christensen
Title: Doctor
Phone: (801) 657-0061

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 7044278-9934 (UT)

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Registry record

NPI: 1144467424
Entity type: Organization
NPI issued: 8 Jan 2009
Record last updated: 4 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.