Retnasothie, Dashaini Victoria

Retnasothie, Dashaini Victoria is an individual health care provider with primary practice located at 5460 E La Palma Ave , Anaheim CA 92807. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Retnasothie, Dashaini Victoria can be contacted via phone (714) 463-7500.

Contact Information

Primary practice address
5460 E La Palma Ave Anaheim CA 92807
Phone: (714) 463-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 8326T Texas
Eye and Vision Services Providers / Pediatrics 152WP0200X 14413 California
Eye and Vision Services Providers / Vision Therapy 152WV0400X 14413 California
Eye and Vision Services Providers / Optometrist 152W00000X 14413 California

Profile Details

NPI number 1265797997
LBN Legal business name Retnasothie, Dashaini Victoria
Credentials OD, MSC, BSC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2012
Last updated Sep 5th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265797997 NPPES
Texas MEDICAID 112409104
Texas Other 1861493140

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