Deena Sandall, OD., LLC

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

1723 Issued in KS

Legal business name

DEENA SANDALL, OD., LLC

Doing business as

Deena Sandall, OD., LLC

Practice address

1151 N Rock Rd
Wichita, KS 67206-1262

Phone

(316) 268-5000

NPI assigned

Feb 29, 2012

Last updated

Jul 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deena Sandall, ODNPI 1568454213

Title

Member

Phone

(316) 210-0362

Specialties & licenses 1

Addresses

Other names 1

• Deena Sandall, OD., LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deena D Sandall, OD

  • Optometrist
  • Wichita, KS
  • NPI 1568454213
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1871867416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 N 199TH CIR W",
            "city": "GODDARD",
            "state": "KS",
            "postal_code": "670528835",
            "telephone_number": "316-210-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N ROCK RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061262",
            "telephone_number": "316-268-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEENA SANDALL, OD., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "SANDALL",
        "authorized_official_first_name": "DEENA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "316-210-0362",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "KS",
            "license": "1723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deena Sandall, OD., LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Declerk, MD
• Kielan Decou
• Dedicated Physicians Group of Kansas LLC (Dedicated Senior Medical Center Grove)
• Dedicated Physicians Group of Kansas LLC (Dedicated Senior Medical Center Glendale)
• Dee's Counseling LLC
• Tiffany Defebaugh, COTA
• Heather Ann Deforeest, RPT
• Madeline Degenhardt
• James C Degner, MD
• Deidre D Degrado, CPM

• Low Vision Rehabilitation Optometrist in Wichita, KS
• Providers in Wichita, KS by specialty
• Low Vision Rehabilitation Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.