Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mary A Desando, OD
Optometrist in Carbondale, PA · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1417969528
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Registry record
Entity type Individual (Type 1)
Name Mary A Desando
Credential OD
Sex Female
Practice address 150 Brooklyn St, Carbondale, PA, 18407
Phone (570) 282-7188
Fax (570) 282-4402
Enumeration date Aug 13, 2006
Last updated in NPPES Dec 1, 2022
Taxonomy & licenses
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses.
About the OD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 506554 | Other | - | AETNA |
| 20969 | Other | - | GEISINGER HEALTH PLAN |
| 001163415 | Medicaid | PA | - |
| 073339 | Other | - | FIRST PRIORITY HEALTH |
| DE567588 | Other | - | HIGH MARK BLUE SHIELD |
| 410024727 | Other | - | RAILROAD MEDICARE |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Mary Desando?
The National Provider Identifier (NPI) for Mary Desando is 1417969528, a Type 1 (individual) record in the CMS NPPES registry.
Where does Mary Desando practice?
The practice location on file with NPPES is in Carbondale, PA. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-12-01.