Provider Demographics
NPI:1831192962
Name:CHEYNE, CHRISTOPHER DAVID (OD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:DAVID
Last Name:CHEYNE
Suffix:
Gender:
Credentials:OD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4000 E US HIGHWAY 377
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76049-7432
Mailing Address - Country:US
Mailing Address - Phone:817-573-7153
Mailing Address - Fax:817-573-5640
Practice Address - Street 1:4000 E US HIGHWAY 377
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76049-7432
Practice Address - Country:US
Practice Address - Phone:817-573-7153
Practice Address - Fax:817-573-5640
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5654TG152W00000X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80883QOtherBLUE CROSS BLUE SHIELD
TX010794060OtherVISION SERVICE PLAN
TX1893876OtherUNITED HEALTHCARE
TX5443298OtherCCN
TX010794060OtherPRIVATE HEALTHCARE SYSTEM
TX30174OtherOPTICARE
TX5017230001OtherPALMETTO SUPPLIER NUMBER
TXP00068420OtherRAILROAD MEDICARE
TX157335402Medicaid
TX2087860OtherFIRST HEALTH NETWORK
TX5017230001OtherPALMETTO SUPPLIER NUMBER
TX010794060OtherPRIVATE HEALTHCARE SYSTEM
TX2087860OtherFIRST HEALTH NETWORK
TX00795VMedicare Oscar/Certification