Provider Demographics
NPI:1659502524
Name:WINDHORST, CHRISTINA A (OD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:A
Last Name:WINDHORST
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:A
Other - Last Name:HEPTIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:2800 SW WANAMAKER RD
Mailing Address - Street 2:SUITE 192
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-4293
Mailing Address - Country:US
Mailing Address - Phone:785-438-6756
Mailing Address - Fax:785-438-6777
Practice Address - Street 1:1025 W 6TH ST
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:KS
Practice Address - Zip Code:66441-3230
Practice Address - Country:US
Practice Address - Phone:785-223-5777
Practice Address - Fax:785-223-0257
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS1838152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0602710003Medicare NSC