Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY A DESANDO, OD
ActiveMARY A DESANDO, OD is a Optometrist healthcare provider located in CARBONDALE, Pennsylvania. NPI 1417969528 is currently active in the NPPES registry. Verify at CMS.
Optometrist · CARBONDALE, PA
Registration Details
- NPI Number
- 1417969528
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 13, 2006 (20.042269752397 yrs)
- Last Updated
- Dec 1, 2022
- License
-
OEG000527 (PA)
Practice Information
- Address
-
150 BROOKLYN STCARBONDALE, PA, 18407Browse PA providers · Browse ZIP 18407
- Phone
- 5702827188
- Fax
- 5702824402
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in CARBONDALE, PA
| Name | Credential | NPI |
|---|---|---|
| DONNA M BURACZEWSKI | OD | 1144287814 |
| DR. BRADLEY DOMINICK SPARKS | O.D. | 1518316694 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.