Active NPIIndividual providerSole proprietor

Christopher Carmiencke, OD

Optometrist in Bend, Oregon

NPI Number1073670170
Practice location
452 NE Greenwood Ave, Bend, OR 97701-4645
Fax
541-382-5702
Last updated
September 21, 2017

Christopher Carmiencke is an Optometrist based in Bend, OR. Christopher Carmiencke practices in Bend, OR and has the professional credentials of OD. The NPI Number for Christopher Carmiencke is 1073670170 and holds a License No. 1221 ATI (OR). The current practice location address for Christopher Carmiencke is 452 NE Greenwood Ave, Bend, OR 97701-4645 and can be reached out via phone at 541-382-5701 and via fax at 541-382-5702.

Provider Profile Details

NPI Number
1073670170
Provider Name
Christopher Carmiencke
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
452 NE Greenwood Ave, Bend, OR 97701-4645
Phone Number
541-382-5701
Fax Number
541-382-5702
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Other Names
-- Kit Carmiencke, OD (Professional Name)
Provider Enumeration Date
January 2, 2007
Last Update Date
September 21, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
452 NE Greenwood Ave
Bend, OR 97701-4645
City
Bend
State
Oregon
Zip
97701-4645
Phone Number
541-382-5701
Fax Number
541-382-5702
Bend, OR 97701Get directions →

Provider Business Mailing Address Details

Address
452 NE Greenwood Ave
Bend, OR 97701-1134
City
Bend
State
OR
Zip
97701-1134
Phone Number
541-382-5701
Fax Number
541-382-5702

License Information

License Number (1)
1221 ATI
License State (1)
OR
Taxonomy (1)
Optometrist, Vision Therapy · 152WV0400X
License Number (2)
1221 ATI
License State (2)
OR
Taxonomy (2)
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Christopher Carmiencke, OD?

The NPI number of Christopher Carmiencke, OD is 1073670170. It was assigned on January 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Christopher Carmiencke, OD?

Christopher Carmiencke, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in OR under license number 1221 ATI.

Where does Christopher Carmiencke, OD practice?

The practice location is 452 NE Greenwood Ave, Bend, OR 97701-4645. The office can be reached at 541-382-5701 (phone) or 541-382-5702 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073670170 directly on the NPPES registry website.

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