Woods, Susan Bernadette
Woods, Susan Bernadette is an sole proprietor health care provider with primary practice located at 1371 Bedford Dr , Melbourne FL 32940-1975. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Woods, Susan Bernadette can be contacted via phone (321) 301-4651.Contact Information
Primary practice address
1371 Bedford Dr
Melbourne FL 32940-1975
Phone: (321) 301-4651
Fax: (321) 383-7361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC 2573 | Florida |
Profile Details
| NPI number | 1780719732 |
|---|---|
| LBN Legal business name | Woods, Susan Bernadette |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Mar 1st, 2017 - about 7 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 | 1780719732 | NPPES |
| Florida | Other | AG499 | PTAN |
| Florida | Other | 5886500001 | PTAN |
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