Provider Demographics
NPI:1891968996
Name:JULIET, CHRISTOPHE JEAN (OD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHE
Middle Name:JEAN
Last Name:JULIET
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4336 STACY PL
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-5842
Mailing Address - Country:US
Mailing Address - Phone:858-752-8561
Mailing Address - Fax:619-243-2443
Practice Address - Street 1:6950 FRIARS RD STE 100
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-5107
Practice Address - Country:US
Practice Address - Phone:619-243-2444
Practice Address - Fax:619-243-2443
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11153T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist