NPI 1073670170 · live from the CMS NPI Registry
Christopher Carmiencke, O.D.
Optometrist in Bend, OR. National Provider Identifier 1073670170, active.
NPI record
| NPI | 1073670170 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 452 Ne Greenwood Ave, Bend, OR 97701 |
| Practice phone | 541-382-5701 |
| Enumerated | January 2, 2007 |
| Last updated | September 21, 2017 |
| Sole proprietor | Yes |
| Other names | Kit Carmiencke |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist, Vision Therapy | 152WV0400X | 1221 ATI (OR) |
| Optometrist primary | 152W00000X | 1221 ATI (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.