IndividualActive
Brianna Dissler, OD
NPI 1629965454 · Optometrist · Salt Lake City, UT
Provider details
- NPI number
- 1629965454
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 14226757-9934 (UT)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
500 Foothill Dr
Salt Lake City, UT 84148-0001
Phone: (801) 582-1565
Approximate (ZIP-level) locationGet directions
Mailing address
2349 S 700 E
Salt Lake City, UT 84106-1861
Registry dates
- Enumerated
- 2025-06-23
- Last updated
- 2025-06-23
- Certified
- 2025-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.