Provider Demographics
NPI:1235361387
Name:CHRISTIE VISION CARE, LLC
Entity type:Organization
Organization Name:CHRISTIE VISION CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:COLIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHRISTIE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:317-987-8720
Mailing Address - Street 1:6845 BLUFF RD
Mailing Address - Street 2:STE. # 26
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46217-3926
Mailing Address - Country:US
Mailing Address - Phone:317-660-6445
Mailing Address - Fax:
Practice Address - Street 1:6845 BLUFF RD
Practice Address - Street 2:STE. # 26
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46217-3926
Practice Address - Country:US
Practice Address - Phone:317-660-6445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-21
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18003580A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty