O'Shea, Susan Marianne

O'Shea, Susan Marianne is an sole proprietor health care provider with primary practice located at 1341 Boylston St , Boston MA 02215-3909. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. O'Shea, Susan Marianne can be contacted via phone (508) 661-9532.

Contact Information

Primary practice address
1341 Boylston St Boston MA 02215-3909
Phone: (508) 661-9532
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Pediatrics 152WP0200X 4515 Massachusetts
Eye and Vision Services Providers / Vision Therapy 152WV0400X 4515 Massachusetts
Eye and Vision Services Providers / Optometrist 152W00000X 4515 Massachusetts

Profile Details

NPI number 1821109703
LBN Legal business name O'Shea, Susan Marianne
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jun 11th, 2019 - about 6 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 1821109703 NPPES
Massachusetts MEDICAID 110073128

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