Fisher, Susan
Fisher, Susan is an sole proprietor health care provider with primary practice located at 1285 Owen Pl , North Bellmore NY 11710-2118. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Fisher, Susan can be contacted via phone (516) 783-6460.Contact Information
Primary practice address
1285 Owen Pl
North Bellmore NY 11710-2118
Phone: (516) 783-6460
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0004117 | New York |
Profile Details
| NPI number | 1427065754 |
|---|---|
| LBN Legal business name | Fisher, Susan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Nov 8th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427065754 | NPPES |
| New York | Other | 11-2879341 | TPI |
| New York | Other | 410044468 | TPI |
| New York | MEDICAID | OV004117 | TPI |
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