Provider Demographics
NPI:1326158551
Name:CHRISTIAN, RORY J (OD)
Entity Type:Individual
Prefix:DR
First Name:RORY
Middle Name:J
Last Name:CHRISTIAN
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 1:1811 W ROYAL HUNTE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-8274
Mailing Address - Country:US
Mailing Address - Phone:435-586-1131
Mailing Address - Fax:435-865-1121
Practice Address - Street 1:1811 W ROYAL HUNTE DR STE 1
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-8274
Practice Address - Country:US
Practice Address - Phone:435-586-1131
Practice Address - Fax:435-865-1121
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT261044-9934152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT0055971Medicare ID - Type Unspecified
UTU63123Medicare UPIN