Provider Demographics
NPI:1063489904
Name:CHOAT, CHRISTOPHER R (OD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:R
Last Name:CHOAT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:673 PARCHMENT LN
Mailing Address - Street 2:
Mailing Address - City:FERN PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32730-2788
Mailing Address - Country:US
Mailing Address - Phone:407-895-4400
Mailing Address - Fax:407-264-8671
Practice Address - Street 1:215 E NEW HAMPSHIRE ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-6403
Practice Address - Country:US
Practice Address - Phone:407-895-4400
Practice Address - Fax:407-264-8671
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3694152WL0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLV01302Medicare UPIN
U6884ZMedicare PIN