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Individual

DR. SUSAN F EISSENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
5700 W. 88 AVE., PEARLE VISION, WESTMINSTER, CO 80031
(303) 650-6006
(303) 650-6020
Mailing address
5700 W. 88 AVE., PEARLE VISION, WESTMINSTER, CO 80031
(303) 650-6006
(303) 650-6020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1457
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08014573
CO
Enumeration date
07/09/2005
Last updated
06/03/2015
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