Individual
VICTORIA W. DESHAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3240 EDWARDS LAKE PKWY STE 100, TRUSSVILLE, AL 35235-3128
(833) 733-8742
(205) 634-5640
Mailing address
PO BOX 59449, BIRMINGHAM, AL 35259-9449
(833) 733-8742
(205) 634-5640
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-F50-TA-D62
AL
152W00000X
Optometrist
Primary
SF50TAD62
AL
Other
Enumeration date
08/18/2025
Last updated
04/15/2026
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