Susan DO, O.D.
Optometrist in Westminster, CA. Individual provider (NPI-1).
NPI number1265988794
StatusActive
Last updated in NPPESAug 25, 2016
Details
- NPI
- 1265988794
- Entity type
- Individual (NPI-1)
- Name
- Susan DO
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 25, 2016
- Last updated
- Aug 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 0618002518 | VA | Yes |
Practice location
9521 Bird AveWestminster, CA 92683-5603
Phone 714-822-7995
Mailing address
9521 Bird AveWestminster, CA 92683-5603
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