Provider Demographics
NPI:1952624348
Name:NASSIF, CHRISTINA SIMMONS (OD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:SIMMONS
Last Name:NASSIF
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 1:9213 W HAMPTON DR
Mailing Address - Street 2:
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133-2882
Mailing Address - Country:US
Mailing Address - Phone:440-652-6574
Mailing Address - Fax:
Practice Address - Street 1:9213 W HAMPTON DR
Practice Address - Street 2:
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133-2882
Practice Address - Country:US
Practice Address - Phone:440-652-6574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-12
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4498152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist