Edmonds, Susan E.

Edmonds, Susan E. is an individual health care provider with primary practice located at 3300 Township Line Rd Suite 101, Drexel Hill PA 19026-1925. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Edmonds, Susan E. can be contacted via phone (610) 449-2540.

Contact Information

Primary practice address
3300 Township Line Rd Suite 101 Drexel Hill PA 19026-1925
Fax: (610) 449-2751
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000493 Pennsylvania
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OEG000493 Pennsylvania
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X OEG000493 Pennsylvania

Profile Details

NPI number 1811944085
LBN Legal business name Edmonds, Susan E.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Oct 10th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811944085 NPPES
Pennsylvania Other 429782 BLUE CROSS/ BLUE SHIELD
Pennsylvania Other 0033165000 BLUE CROSS/ BLUE SHIELD
Pennsylvania Other 2545643 BLUE CROSS/ BLUE SHIELD

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