Individual
BOBBY CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2008 S. POST ROAD, MIDWEST CITY, OK 73130
(405) 732-2277
(405) 737-4776
Mailing address
2008 S. POST ROAD, MIDWEST CITY, OK 73130
(405) 732-2277
(405) 737-4776
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
864
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410030343
RAILROAD MEDICARE PIN
OK
01
—
445488135003
BCBS PROVIDER ID
OK
01
—
730942461
TAX ID
OK
01
—
CS4518
RAILROAD MEDICARE GROUP PIN
OK
Enumeration date
12/20/2006
Last updated
01/14/2011
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