NPI 1164402608

Sandra Deselle, OD

Practitioner Optometrist Carson City, NV

Practice location

Address: 1987 N Carson St STE 5, Carson City, NV 89701-1225
Phone: (775) 883-2015
Mailing address: 215 Main St, Los Altos, CA 94022-2909

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1098 (NV)

Other Optometrist providers in Nevada →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 12111-T (CA)

Registry record

NPI: 1164402608
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jan 2006
Record last updated: 11 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.