Provider Demographics
NPI:1841606738
Name:SCHILLER, CHRISTINA (OD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:SCHILLER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:GROSSHANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:970 5TH AVE NW STE 120
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-2487
Mailing Address - Country:US
Mailing Address - Phone:425-276-0388
Mailing Address - Fax:
Practice Address - Street 1:970 5TH AVE NW STE 120
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-2487
Practice Address - Country:US
Practice Address - Phone:425-276-0388
Practice Address - Fax:425-276-0387
Is Sole Proprietor?:No
Enumeration Date:2014-07-11
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60605139152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist