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Organization

DR. ROBERT S. CHRISTENSEN INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT SPENCER CHRISTENSEN O.D. (OWNER)
(415) 381-3355
Entity
Organization

Contact information

Practice address
250 CAMINO ALTO, SUITE 110, MILL VALLEY, CA 94941-1400
(415) 381-3355
Mailing address
250 CAMINO ALTO, SUITE 110, MILL VALLEY, CA 94941-1400
(415) 381-3355

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CA6009T
CA
152WV0400X
Vision Therapy Optometrist
CA6009T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1639246689
SOLE PRACTITIONER NPI
CA
01
410017967
RAILROAD MEDICARE PTAN
Enumeration date
12/03/2015
Last updated
12/03/2015
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