Individual
DR. NIKKI ROBIN SUSKOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10735 PENDLETON PIKE, C/O WAL-MART VISION CENTER, INDIANAPOLIS, IN 46236
(317) 823-1886
Mailing address
8135 BOWLINE DR, INDIANAPOLIS, IN 46236-8417
(317) 826-4173
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002711
IN
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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