Provider Demographics
NPI:1326191800
Name:SUKIASSIANS, CHRIS K (OD)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:K
Last Name:SUKIASSIANS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:KARLOS
Other - Middle Name:
Other - Last Name:SUKIASSIANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:9027 TAMPA AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-3524
Mailing Address - Country:US
Mailing Address - Phone:818-349-7617
Mailing Address - Fax:818-349-7616
Practice Address - Street 1:9027 TAMPA AVE
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-3524
Practice Address - Country:US
Practice Address - Phone:818-349-7617
Practice Address - Fax:818-349-7616
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12246T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist