Provider Demographics
NPI:1497947493
Name:DUNN, CHRISTOPHER HAYDEN (LDO)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:HAYDEN
Last Name:DUNN
Suffix:
Gender:M
Credentials:LDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5926 PREMIER WAY #112
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-7807
Mailing Address - Country:US
Mailing Address - Phone:239-465-0180
Mailing Address - Fax:239-465-0185
Practice Address - Street 1:5926 PREMIER WAY #112
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-7807
Practice Address - Country:US
Practice Address - Phone:239-465-0180
Practice Address - Fax:239-465-0185
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDO 4567156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician