Provider Demographics
NPI:1194134627
Name:SIMPSON, CHRISTINA J (OD, FAAO)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:J
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:OD, FAAO
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:KROLCZYK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD, FAAO
Mailing Address - Street 1:739 TURKEY ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BERWICK
Mailing Address - State:ME
Mailing Address - Zip Code:03906-5729
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8 LILAC MALL
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867
Practice Address - Country:US
Practice Address - Phone:603-335-6666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-08
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH892152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist