Individual
CHRISTOPHER W COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1674 N LIMESTONE ST, SPRINGFIELD, OH 45503-2652
(937) 399-4101
(937) 399-2346
Mailing address
420 SINTZ ROAD, SPRINGFIELD, OH 45504
(937) 322-3871
(937) 399-2346
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4550
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000340281
ANTHEM
OH
05
—
0995240
—
OH
01
—
11308
CORDINATED VISION CARE
OH
01
—
200806361027
CARESOURCE
OH
01
—
2201143
UNITED HEALTH CARE
OH
01
—
4669244
AETNA
OH
Enumeration date
06/14/2005
Last updated
11/30/2011
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