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CHRISTOPHER CARMIENCKE OD NPI 1891985453


NPI Information

NPI: 1891985453
Provider Name: CHRISTOPHER CARMIENCKE OD

Other Name: INTEGRATED EYECARE

Classification: Optometrist - 152WV0400X
Entity Type: Organization

Specialization: Vision Therapy

Address:
452 NE GREENWOOD AVE
BEND, OR
ZIP 97701
Phone: (541) 382-5701
Get Directions

CHRISTOPHER CARMIENCKE OD is a vision therapy optometrist in Bend, OR. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. CHRISTOPHER CARMIENCKE OD NPI is 1891985453. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Integrated Eyecare.

The provider's business location address is:

452 NE GREENWOOD AVE
BEND, OR
ZIP 97701-608
Phone: (541) 382-5701
Fax: (541) 382-5702

The provider's authorized official is Christopher Carmiencke .
The authorized official title is Owner and has the following contact phone number (541) 382-5701.

The enumeration date for this NPI number is 7/30/2007 and was last updated on 11/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WV0400XOptometristVision TherapyOR1221ATOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T67492MEDICARE UPINOREGON
203256-5MEDICAIDOREGON
31043940001MEDICARE NSCOREGON
4109031MEDICARE PINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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