Susan Bailey Trader, Licensed Optician
Technician/Technologist in Winston Salem, NC. Individual provider (NPI-1).
NPI number1609675396
StatusActive
Last updated in NPPESMar 13, 2025
Details
- NPI
- 1609675396
- Entity type
- Individual (NPI-1)
- Name
- Susan Bailey Trader
- Credential
- Licensed Optician
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 13, 2025
- Certification date
- Mar 13, 2025
- Last updated
- Mar 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156F00000X | Technician/Technologist | 1638 | NC | Yes |
Practice location
4310 Enterprise Dr Ste IWinston Salem, NC 27106-3260
Phone 336-757-1120 · Fax 336-757-1202
Mailing address
4310 Enterprise Dr Ste IWinston Salem, NC 27106-3260
Phone 336-757-1120 · Fax 336-757-1202
Other practice locations
611 Coliseum Dr
Winston Salem, NC 27106-5310
Winston Salem, NC 27106-5310
Phone 336-397-7200 · Fax 336-397-0775
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