Individual
DR. CHRISTIAN JAY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., F.A.A.O.
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 245-3732
Mailing address
5069 S AMETHYST RD, FLAGSTAFF, AZ 86005-6840
(928) 245-3732
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001678
VA
152W00000X
Optometrist
2756
OK
152W00000X
Optometrist
OEG003082
PA
152W00000X
Optometrist
Primary
OPT-002229
AZ
Other
Enumeration date
06/21/2005
Last updated
02/14/2024
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