NPI 1497317168

Tarah Ruth Desatoff, OD

Practitioner Optometrist Wasilla, AK

Practice location

Address: 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083
Phone: (907) 631-7640
Mailing address: 7033 E Tudor Rd, Anchorage, AK 99507-1262

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence PENDING (AK)

Other Optometrist providers in Alaska →

Registry record

NPI: 1497317168
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jul 2019
Record last updated: 2 Jul 2019

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.