Provider Demographics
NPI:1265540058
Name:STEMMLE, CHRISTIE A (OD)
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:A
Last Name:STEMMLE
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9350 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507
Mailing Address - Country:US
Mailing Address - Phone:907-561-1167
Mailing Address - Fax:907-561-7051
Practice Address - Street 1:9350 INDEPENDENCE DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507
Practice Address - Country:US
Practice Address - Phone:907-561-1167
Practice Address - Fax:907-561-7051
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKOPTT154152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKOD11542Medicaid
AKOD11542Medicaid
AK041WFBTQAMedicare ID - Type Unspecified