Provider Demographics
NPI:1619981792
Name:ATKINSON, CHRISTINA NALINI (OD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:NALINI
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1121 KEITH DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94518-1725
Mailing Address - Country:US
Mailing Address - Phone:925-676-3521
Mailing Address - Fax:925-676-3551
Practice Address - Street 1:20211 PATIO DR.
Practice Address - Street 2:SUITE 100
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546
Practice Address - Country:US
Practice Address - Phone:510-881-4401
Practice Address - Fax:510-881-4423
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10573T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGF115ZMedicare PIN