Individual
DR. SUSAN T DISARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4 OKATIE CTR BLVD, SUITE 102, BLUFFTON, SC 29909-7529
(843) 705-3333
(843) 705-3334
Mailing address
4720 WATERS AVE, SAVANNAH, GA 31404-6292
(912) 354-4800
(912) 629-5821
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1048
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760445449
MEDICARE RAILROAD
SC
01
—
9143
MEDICARE GROUP
SC
05
—
D10487
—
SC
05
—
DA9642
—
SC
Enumeration date
04/11/2006
Last updated
07/16/2025
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