Individual
DR. DENISE DIANE SAUNDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1169 POSNER BLVD, DAVENPORT, FL 33837-3664
(347) 886-4438
Mailing address
1131 CASCADE DR, DAVENPORT, FL 33837-1603
(347) 886-4438
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
007761
NY
152W00000X
Optometrist
Primary
OPC5043
FL
152W00000X
Optometrist
OPT002716
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03565639
—
NY
01
—
A300076640
MEDICARE PTAN
NY
Enumeration date
08/04/2011
Last updated
09/13/2024
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