DR. MARK R CHRISTENSEN (NPI# 1518038108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518038108 |
| Entity Type | Individual |
| Full Name | DR. MARK R CHRISTENSEN |
| Credential | O.D. |
| Practice Address |
1710 Pennsylvania Ave Suite B Fairfield CA 94533-3549 |
| Practice Telephone | 7074252187 |
| Practice Fax Number | 7074348130 |
| Mailing Telephone | 7074252187 |
| Mailing Fax Number | 7074348130 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2010-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT 7874 TPA | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FEDERAL TAX ID | 26-0625555 | 01 | |
| CA | SD0078740 | 05 | |
| CA | FEDERAL TAX ID | 68-0014487 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316163819 | Mark W Christensen | Dentist | 7187 Navajo Rd., Suite A, San Diego, CA 92119 | 2007-04-17 |
| 1013087683 | Mark R Christensen | Physical Therapist | 1 N Center Court St, Suite 110, Portland, OR 97227-2102 | 2006-11-09 |
| 1548340433 | Mark Dwayne Christensen Sr. | Dentist | 6617 Precinct Line Rd, Suite 100, North Richland Hills, TX 76182 | 2006-10-16 |
| 1588944516 | Mark Dean Christensen | Family Medicine | 250 Max Dr, 102, Castle Pines, CO 80108-9517 | 2011-08-22 |
| 1609161124 | Mark H Christensen | Emergency Medicine | 2505 Us Highway 431, Boaz, AL 35957-5908 | 2011-06-13 |
| 1184917056 | Mark Lowell Christensen | Emergency Medicine | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2011-05-25 |
| 1689749061 | Mark L Christensen | Dentist | 166 E 5900 S, Suite 101, Murray, UT 84107-7257 | 2006-11-21 |
| 1942314257 | Mark Halger Christensen | Family Medicine | 250 E Maple St, New Lenox, IL 60451-1871 | 2006-08-17 |
| Street Address |
1710 PENNSYLVANIA AVE SUITE B |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-3549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710986435 | Eastbay Home Health Services, Inc | Home Health | 1710 Pennsylvania Ave, Suite E, Fairfield, CA 94533-3589 | 2005-07-14 |
| 1477736395 | Frank W. Hull, M.d. | Optometrist | 1710 Pennsylvania Ave, Suite B, Fairfield, CA 94533-3589 | 2007-12-13 |
| 1861614067 | Kristin Woodbury | Otolaryngology | 1710 Pennsylvania Ave, Ste D, Fairfield, CA 94533-3549 | 2007-05-03 |
| 1598833949 | Oladimeji Fatai Sorunke | Dentist | 1710 Pennsylvania Ave, Suite A, Fairfield, CA 94533-3589 | 2006-12-02 |
| 1073531356 | Murray Alan Woolf | Otolaryngology | 1710 Pennsylvania Ave, Suite D, Fairfield, CA 94533-3589 | 2006-07-17 |
| 1720071327 | Frank W Hull | Ophthalmology | 1710 Pennsylvania Ave, Ste B, Fairfield, CA 94533 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| 1285293050 | Myeyedr Optometry of Ohio, LLC | Optometrist | 1251 Nilles Rd Ste 2, Fairfield, OH 45014-7205 | 2019-06-06 |
| 1548729270 | Fratto Optometry Inc. | Optometrist | 1350 Travis Blvd Unit 1418a, Fairfield, CA 94533-3432 | 2019-03-12 |
| 1336625342 | Anita B. A. Singh | Optometrist | 1375 Kings Hwy Ste 300, Fairfield, CT 06824-5396 | 2018-07-12 |
| 1124510813 | Chandler-drakes Eyecare LLC | Optometrist | 19 Shoreham Ter, Fairfield, CT 06824-6226 | 2018-05-30 |
| 1528574415 | Hongping Xu | Optometrist | 40 Black Rock Tpke, Fairfield, CT 06825-5507 | 2017-12-14 |
| 1871044545 | Diane Prather | Optometrist | 2035 185th St, Fairfield, IA 52556-9016 | 2016-10-18 |
| 1497137970 | Michelle Glass | Optometrist | 530 Wessel Dr Ste G, Fairfield, OH 45014-3651 | 2015-06-22 |
| 1568844132 | Christopher Garcia Jovez | Optometrist | 1967 Gentle Creek Dr, Fairfield, CA 94534-6701 | 2015-06-19 |
| 1285061598 | Caleb Poon | Optometrist | 1350 Travis Blvd # 1507a, Fairfield, CA 94533-4646 | 2013-10-01 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.