Organization
CHRISTOPHER CARMIENCKE OD
Active
Other names
Integrated Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER CARMIENCKE (OWNER)
(541) 382-5701
Entity
Organization
Contact information
Practice address
452 NE GREENWOOD AVE, BEND, OR 97701-4608
(541) 382-5701
(541) 382-5702
Mailing address
452 NE GREENWOOD AVE, BEND, OR 97701-4608
(541) 382-5701
(541) 382-5702
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
OR1221AT
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03256-5
—
OR
Enumeration date
07/30/2007
Last updated
11/20/2008
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