Provider Demographics
NPI:1689716920
Name:CHRISTIAN, VALERIE JEAN (OD)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:JEAN
Last Name:CHRISTIAN
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 1:13320 GC PEERY HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:POUNDING MILL
Mailing Address - State:VA
Mailing Address - Zip Code:24637-9755
Mailing Address - Country:US
Mailing Address - Phone:276-963-9400
Mailing Address - Fax:276-596-9310
Practice Address - Street 1:13320 GC PEERY HIGHWAY
Practice Address - Street 2:
Practice Address - City:POUNDING MILL
Practice Address - State:VA
Practice Address - Zip Code:24637-9755
Practice Address - Country:US
Practice Address - Phone:276-963-9400
Practice Address - Fax:276-596-9310
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001322152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
48519OtherDAVIS VISION
29122OtherSPECTERA
C09327Medicare UPIN
VA00W193V01Medicare PIN