Provider Demographics
NPI:1467658724
Name:CHRISTOPHER T FUREY OD PLC
Entity Type:Organization
Organization Name:CHRISTOPHER T FUREY OD PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:FUREY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:623-932-2020
Mailing Address - Street 1:2580 N LITCHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-2071
Mailing Address - Country:US
Mailing Address - Phone:623-932-2020
Mailing Address - Fax:623-932-2668
Practice Address - Street 1:2580 N LITCHFIELD RD
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-2071
Practice Address - Country:US
Practice Address - Phone:623-932-2020
Practice Address - Fax:623-932-2668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ4157680001Medicare NSC
AZU37155Medicare UPIN
AZZ71237Medicare PIN