Individual
SUSAN L KAPLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
19420 N 59TH AVE, SUITE E-525, GLENDALE, AZ 85308-6894
(602) 843-2900
(602) 843-0233
Mailing address
19420 N 59TH AVE, SUITE E-525, GLENDALE, AZ 85308-6894
(602) 843-2900
(602) 843-0233
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
683
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0902300
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
09/01/2006
Last updated
07/16/2012
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