Provider Demographics
NPI:1407673544
Name:ALMASSI, SIMIN (OD)
Entity type:Individual
Prefix:
First Name:SIMIN
Middle Name:
Last Name:ALMASSI
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 1:12227 GLADEWICK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-2536
Mailing Address - Country:US
Mailing Address - Phone:504-428-4021
Mailing Address - Fax:
Practice Address - Street 1:12227 GLADEWICK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-2536
Practice Address - Country:US
Practice Address - Phone:504-428-4021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11083152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist