Basic Information
| Provider Information | |||||||||
| NPI: | 1659502524 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WINDHORST | ||||||||
| FirstName: | CHRISTINA | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | O.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | HEPTIG | ||||||||
| OtherFirstName: | CHRISTINA | ||||||||
| OtherMiddleName: | A | ||||||||
| OtherNamePrefix: | |||||||||
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| OtherCredential: | O.D. | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 2800 SW WANAMAKER RD | ||||||||
| Address2: | SUITE 192 | ||||||||
| City: | TOPEKA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 666144293 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7854386756 | ||||||||
| FaxNumber: | 7854386777 | ||||||||
| Practice Location | |||||||||
| Address1: | 1025 W 6TH ST | ||||||||
| Address2: | |||||||||
| City: | JUNCTION CITY | ||||||||
| State: | KS | ||||||||
| PostalCode: | 664413230 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7852235777 | ||||||||
| FaxNumber: | 7852230257 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/27/2009 | ||||||||
| LastUpdateDate: | 08/05/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | KS1838 | KS | Y | Eye and Vision Services Providers | Optometrist |
No ID Information.