Organization
DR. SUSAN BETTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN J BETTS O.D. (OWNER)
(302) 629-6691
Entity
Organization
Contact information
Practice address
23094 ATLANTA RD, SEAFORD, DE 19973-6911
(302) 629-6691
Mailing address
23094 ATLANTA RD, SEAFORD, DE 19973-6911
(302) 629-6691
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
I30001158
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1419229005
CIGNA
DE
01
—
1578566923
SOLO PROVIDER NPI
DE
01
—
225125
MAMSI
DE
01
—
32341
COVENTRY
DE
01
—
410005314
RAILROAD MEDICARE
DE
01
—
560251
AETNA
DE
01
—
D000403
CHAMPUS TRICARE
DE
Enumeration date
04/03/2007
Last updated
07/09/2008
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