Individual
SHAWN T SUSSMANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1124 E WEISGARBER RD STE 104, KNOXVILLE, TN 37909-2686
(865) 584-2127
Mailing address
PO BOX 100284, GAINESVILLE, FL 32610-0284
(352) 273-8778
(352) 273-7402
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC6391
FL
152W00000X
Optometrist
TN2032
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3944150
—
TN
01
—
4025051
BCBS
TN
Enumeration date
07/22/2005
Last updated
05/24/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us