DEENA SANDALL, OD


Address: 610 N Main St Ste 213, Wichita, KS 67203-3619
Phone: 3164401600

DEENA SANDALL, OD (NPI# 1871867416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871867416
Entity Type Organization
Organization Name DEENA SANDALL, OD
Practice Address 610 N Main St Ste 213
Wichita
KS 67203-3619
Practice Telephone 3164401600
Practice Fax Number 3164401695
Mailing Telephone 3164401600
Mailing Fax Number 3164401695
Enumeration Date 2012-02-29
Last Update Date 2012-03-20
Authorized Official Name DEENA SANDALL (MEMBER)
Authorized Official Telephone 3164401600
Authorized Official Credential OD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152WL0500X Optometrist
Specialization: Low Vision Rehabilitation
1723 KS Eye and Vision Services Providers

Office Location

Street Address 610 N MAIN ST STE 213
City WICHITA
State KS
Zip Code 67203-3619

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1740664648 Miketo Michelle Kirk Counselor 2050 West 11th St., Wichita, KS 67203 2015-07-10
1063895209 Let's Talk Therapy and Supervision Inc Social Worker 2458 W Newell St, Wichita, KS 67203 2015-07-07
1396147096 Heather Ann Shelton Counselor 1919 N Amidon Ave Ste 108, Wichita, KS 67203 2014-09-24
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Taxonomy Information

Taxonomy Code 152WL0500X
Grouping Eye and Vision Services Providers
Classification Optometrist
Specialization Low Vision Rehabilitation

Taxonomy Definition

Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.
Notes: Source: American Optometric Association [1/1/2009: added definition, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003071887 William L Park, Od, LLC Optometrist 610 N Main St, Suite 201, Wichita, KS 67203-3601 2008-07-22
1801960679 Minta Susan Tate Optometrist 2301 S Water, Wichita, KS 67213 2006-11-20
1699768895 Shu Tzu Wong Optometrist 2301 S Water St, Wichita, KS 67213-4819 2005-08-24
1184616807 Enivision Inc Optometrist 2301 S Water St, Wichita, KS 67213-4819 2005-08-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588605331 Dr. John Metzger Optometrist 10875 Grandview St, Suite 2260, Overland Park, KS 66210-1561 2006-06-10
1114940160 Western Kansas Low Vision Associates Pa Optometrist 310 E Walnut St, Garden City, KS 67846-5560 2006-07-25

Competitor

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City WICHITA
Zip Code 67203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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