Individual
CHRISTOPHER CARMIENCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
452 NE GREENWOOD AVE, BEND, OR 97701-4645
(541) 382-5701
(541) 382-5702
Mailing address
452 NE GREENWOOD AVE, BEND, OR 97701-1134
(541) 382-5701
(541) 382-5702
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1221 ATI
OR
152WV0400X
Vision Therapy Optometrist
1221 ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03256-5
—
OR
Enumeration date
01/02/2007
Last updated
09/21/2017
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