Individual
DR. DEIDRA MARIE CASAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
160 S CAMINO DEL PUEBLO, STE E, BERNALILLO, NM 87004-6173
(505) 771-3937
(505) 771-1282
Mailing address
3566 WHITE HORSE DR SE, RIO RANCHO, NM 87124-3676
(505) 771-3937
(505) 771-1282
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
408
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201001544
PRESBYTERIAN HEALTH
NM
01
—
850429787
LOVELACE MOLINA
NM
01
—
NM01P393
BLUE CROSS BLUE SHIELD
NM
05
—
P5028
—
NM
Enumeration date
08/14/2006
Last updated
12/20/2016
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