Provider Demographics
NPI:1780962290
Name:NANNINI, CHRISTOPHER (OD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:NANNINI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 STEAMBOAT PKWY
Mailing Address - Street 2:SUITE 420
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-6324
Mailing Address - Country:US
Mailing Address - Phone:775-360-6446
Mailing Address - Fax:844-749-9805
Practice Address - Street 1:1111 STEAMBOAT PKWY
Practice Address - Street 2:SUITE 420
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-6324
Practice Address - Country:US
Practice Address - Phone:775-360-6446
Practice Address - Fax:844-749-9805
Is Sole Proprietor?:No
Enumeration Date:2011-08-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV741152W00000X
OK2706152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist