Organization
CHRISTENSEN EYECARE PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NINA PHAM CHRISTENSEN OD (OPTOMETRIST)
(262) 893-4396
Entity
Organization
Contact information
Practice address
443 PEWAUKEE RD, COSTCO OPTICAL, PEWAUKEE, WI 53072-5886
(262) 956-6715
Mailing address
W143N6156 RED OAK CT, MENOMONEE FALLS, WI 53051-5895
(262) 893-4396
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
2803
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38609900
—
WI
Enumeration date
09/07/2007
Last updated
01/12/2016
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