Provider Demographics
NPI:1083055693
Name:ORVIN, DEANA SATAR (OD)
Entity Type:Individual
Prefix:
First Name:DEANA
Middle Name:SATAR
Last Name:ORVIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:DEANA
Other - Middle Name:SYLVIA
Other - Last Name:SATAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:3301 30TH ST
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1401
Practice Address - Country:US
Practice Address - Phone:303-443-4311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-11
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1772152W00000X
TN3602152W00000X
COOPT.0003852152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist