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Mary Desando, OD
NPI 1417969528 · Optometrist · Carbondale, PA
Mary Desando, OD is a Optometrist provider in Carbondale, PA (NPI 1417969528).
Provider details
- NPI number
- 1417969528
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- OEG000527 (PA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
150 Brooklyn St
Carbondale, PA 18407
Phone: (570) 282-7188
Fax: (570) 282-4402
Street-level locationGet directions
Mailing address
200 Mifflin Ave
Scranton, PA 18503
Registry dates
- Enumerated
- 2006-08-13
- Last updated
- 2022-12-01
- Certified
- 2022-12-01
Frequently asked questions
- What is Mary Desando's NPI number?
- Mary Desando's National Provider Identifier (NPI) is 1417969528, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Desando's specialty?
- Mary Desando is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Mary Desando located?
- Mary Desando's practice location on file with NPPES is 150 Brooklyn St, Carbondale, PA 18407.
- What is Mary Desando's phone number?
- The practice phone number listed in the NPPES registry for Mary Desando is (570) 282-7188.
- Is Mary Desando's NPI active?
- Yes — Mary Desando's NPI (1417969528) is active in the NPPES registry as of the last update on 2022-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.