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Contact Information

DEIDRA M CASAUS, OD
160 S CAMINO DEL PUEBLO
STE E
BERNALILLO, NM87004-6173
 Phone: 505-771-3937
 Fax: 505-771-1282
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DEIDRA M CASAUS · (Female)

NPI # 1609889310
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/14/2006
Last updated 12/20/2016 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 408
  • NM Medicaid P5028
  • NM Other NM01P393 BLUE CROSS BLUE SHIELD
  • NM Other 850429787 LOVELACE MOLINA
  • NM Other 201001544 PRESBYTERIAN HEALTH
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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