Provider Demographics
NPI:1962956326
Name:CANALES, CHRISTINA DANIELLE (OD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:DANIELLE
Last Name:CANALES
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 1:15123 E LIMESTONE RD
Mailing Address - Street 2:
Mailing Address - City:HARVEST
Mailing Address - State:AL
Mailing Address - Zip Code:35749
Mailing Address - Country:US
Mailing Address - Phone:256-230-9637
Mailing Address - Fax:256-230-0143
Practice Address - Street 1:15123 E LIMESTONE RD
Practice Address - Street 2:
Practice Address - City:HARVEST
Practice Address - State:AL
Practice Address - Zip Code:35749
Practice Address - Country:US
Practice Address - Phone:256-230-9637
Practice Address - Fax:256-230-0143
Is Sole Proprietor?:No
Enumeration Date:2016-08-15
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-D69152W00000X
ALS-D69-TA-A45152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist