Provider Demographics
NPI:1821272717
Name:VALERIE J. CHRISTIAN, O.D., P.C.
Entity Type:Organization
Organization Name:VALERIE J. CHRISTIAN, O.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:CHRISTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:276-963-9400
Mailing Address - Street 1:13320 G. C. 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 G. C. 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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001322152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
48519OtherDAVIS VISION
29122OtherSPECTERA
VA00W193V01Medicare PIN
VAC09327Medicare UPIN