Provider Demographics
NPI:1538989249
Name:BEJAR, CHRISTIAN
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:
Last Name:BEJAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3633 SAVIERS RD APT 16
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93033-6268
Mailing Address - Country:US
Mailing Address - Phone:805-228-9893
Mailing Address - Fax:
Practice Address - Street 1:5465 MEADOWOOD MALL CIR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-6710
Practice Address - Country:US
Practice Address - Phone:776-826-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1218152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist