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Contact Information

DASHAINI V RETNASOTHIE, OD, MSC, BSC
5460 E LA PALMA AVE
ANAHEIM, CA92807
 Phone: 714-463-7500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Pediatrics

152WP0200X 41 Optometry
 

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for DASHAINI V RETNASOTHIE · (Female)

NPI Number 1265797997
Status Active
Credentials OD, MSC, BSC
Entity Individual
Enumeration date 07/09/2012
Last updated 09/05/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 14413
  • TX License # 8326T
  • TX Medicaid 112409104
  • TX Other 1861493140 GROUP NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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