Provider Demographics
NPI:1801788005
Name:STASNEY, DANIELLE (OD)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:
Last Name:STASNEY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 ALEX PL
Mailing Address - Street 2:
Mailing Address - City:PICAYUNE
Mailing Address - State:MS
Mailing Address - Zip Code:39466-9697
Mailing Address - Country:US
Mailing Address - Phone:601-799-0707
Mailing Address - Fax:601-799-0700
Practice Address - Street 1:64185 HIGHWAY 41 STE B
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:LA
Practice Address - Zip Code:70452-3673
Practice Address - Country:US
Practice Address - Phone:985-250-8000
Practice Address - Fax:985-250-8001
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2061-008AT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist