Provider Demographics
NPI:1558360537
Name:ROGIENSKI, CHRISTINE LEE (OD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:LEE
Last Name:ROGIENSKI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16541 POINTE VILLAGE DR
Mailing Address - Street 2:SUITE 207
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-5258
Mailing Address - Country:US
Mailing Address - Phone:813-852-0000
Mailing Address - Fax:813-852-0001
Practice Address - Street 1:16541 POINTE VILLAGE DR
Practice Address - Street 2:SUITE 207
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33558-5258
Practice Address - Country:US
Practice Address - Phone:813-852-0000
Practice Address - Fax:813-852-0001
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-20
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 3990152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist