Individual
SUSAN FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1285 OWEN PL, NORTH BELLMORE, NY 11710-2118
(516) 783-6460
Mailing address
1600 STEWART AVE, STE 108, WESTBURY, NY 11590-6611
(516) 783-6460
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0004117
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-2879341
TPI
NY
01
—
410044468
RRPRV
—
05
—
OV004117
—
NY
Enumeration date
08/01/2006
Last updated
11/08/2016
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