Provider Demographics
NPI:1104265362
Name:SAUNDERS, ALYSSA S (OD)
Entity type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:S
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:
Other - Last Name:SHANDRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15000 MOORPARK ST
Mailing Address - Street 2:2
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-2445
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18291 IMPERIAL HWY
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-3408
Practice Address - Country:US
Practice Address - Phone:714-777-1770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-20
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14635152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist