IndividualActive
Alexandra Gada, OD
NPI 1124689336 · Optometrist · Santo Domingo, NM
Provider details
- NPI number
- 1124689336
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 728 (NM)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
85 West Highway 22
Santo Domingo, NM 87052-0340
Phone: (505) 465-3060
Approximate (ZIP-level) locationGet directions
Mailing address
847 Larkin Ave
Creve Coeur, MO 63141-7738
Registry dates
- Enumerated
- 2019-06-27
- Last updated
- 2021-09-10
- Certified
- 2021-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.