Dr. Blake R Christensen
Optometrist
512 Hewitt Dr
Hewitt
, Texas 76643-0296
Dr. Blake R Christensen
Optometrist
512 Hewitt Dr
Hewitt
, Texas 76643-0296
(254) 666-2292
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Blake R Christensen
- Po Box 296
- Hewitt, TX
- Zip : 76643-0296
- Phone : (254) 666-2292
Second Address
- Dr. Blake R Christensen
- 512 Hewitt Dr
- Hewitt, TX
- Zip : 76643-0296
- Phone : (254) 666-2292
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2919 | TX |
National Provider Identifier
| NPI | 1003803172 |
|---|---|
| Provider Name | Dr. Blake R Christensen |
| First Address | Hewitt, TX 76643-0296 |
| Second Address | Hewitt, TX 76643-0296 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2005 |
| Last Update Date | 07/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 093080202 | (05) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.