Provider Demographics
NPI:1326096736
Name:BUCHANAN, CHRISTOPHER ALLEN (OD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ALLEN
Last Name:BUCHANAN
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 1:16750 S TOWNSEND AVE
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-5410
Mailing Address - Country:US
Mailing Address - Phone:970-240-0439
Mailing Address - Fax:970-249-7317
Practice Address - Street 1:16750 S TOWNSEND AVE
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-5410
Practice Address - Country:US
Practice Address - Phone:970-240-0439
Practice Address - Fax:970-249-7317
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2515152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO805177Medicare ID - Type Unspecified
COU73020Medicare UPIN