Provider Demographics
NPI:1558933176
Name:KAJI, CHRISTIE
Entity Type:Individual
Prefix:DR
First Name:CHRISTIE
Middle Name:
Last Name:KAJI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHRISTIE
Other - Middle Name:
Other - Last Name:KAMIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:51143 CHRISTINE CT
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-4605
Mailing Address - Country:US
Mailing Address - Phone:586-303-7709
Mailing Address - Fax:
Practice Address - Street 1:51143 CHRISTINE CT
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48316-4605
Practice Address - Country:US
Practice Address - Phone:586-303-7709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-13
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901005526152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist