# CHRISTENSEN OPTOMETRY A PROFESSIONAL LIMITED LIABILITY COM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144467424
- **Authorized official:** MR. NATHAN RICHARD CHRISTENSEN OD (DOCTOR)
- **Authorized official phone:** (801) 657-0061

## Contact information

- **Practice address:** 1905 S 300 W, SALT LAKE CITY, UT 84115-1806
- **Practice address phone:** (801) 478-2745
- **Mailing address:** 11223 TRENT DR, SOUTH JORDAN, UT 84095-4005
- **Mailing address phone:** (801) 657-0061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 7044278-9934 | UT | Yes |

## Other

- **Enumeration date:** 01/08/2009
- **Last updated:** 02/04/2009