Deidra Marie Casaus, O.D. Valid NPI

Individual provider · Optometrist · Bernalillo, NM

NPI

1609889310

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

408 (NM)

Sex

Female

Sole proprietor

No

Enumerated

2006-08-14

Last updated

2016-12-20