Provider Demographics
NPI:1497792246
Name:OCONNOR, CHRISTINE ENGLISH (OD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ENGLISH
Last Name:OCONNOR
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 1:3501 SONCY RD
Mailing Address - Street 2:STE 100
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79119-6405
Mailing Address - Country:US
Mailing Address - Phone:806-352-3157
Mailing Address - Fax:806-358-0041
Practice Address - Street 1:3501 SONCY RD
Practice Address - Street 2:STE 100
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79119-6405
Practice Address - Country:US
Practice Address - Phone:806-352-3157
Practice Address - Fax:806-358-0041
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX04641TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX019540601Medicaid
TX00E86QMedicare PIN
TX019540601Medicaid