Organization
CHRISTINA GROSSHANS, OD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINA GROSSHANS OD (MANAGER/SOLE MEMBER)
(818) 468-2809
Entity
Organization
Contact information
Practice address
373 W DRAKE RD, SUITE 3, FORT COLLINS, CO 80526-2881
(970) 223-7150
Mailing address
373 W DRAKE RD, SUITE 3, FORT COLLINS, CO 80526-2881
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3116
CO
152WP0200X
Pediatric Optometrist
3116
CO
152WV0400X
Vision Therapy Optometrist
3116
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5112970
UNITED HEALTH CARE
TN
01
—
6023702
BLUE CROSS
TN
Enumeration date
07/02/2015
Last updated
07/02/2015
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