Provider Demographics
NPI:1689653271
Name:FUREY, CHRISTOPHER THOMAS (OD, PLC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:THOMAS
Last Name:FUREY
Suffix:
Gender:M
Credentials:OD, PLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2580 N LITCHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-2071
Mailing Address - Country:US
Mailing Address - Phone:623-932-2020
Mailing Address - Fax:623-932-2668
Practice Address - Street 1:2580 N LITCHFIELD RD
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-2071
Practice Address - Country:US
Practice Address - Phone:623-932-2020
Practice Address - Fax:623-932-2668
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-11
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ833152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZU37155Medicare UPIN
AZ4157680001Medicare NSC
AZZ71238Medicare PIN