Individual
SUZANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3000 C G ZINN ROAD, THE GREENVIEW PAVILION, THORNDALE, PA 19372
(610) 384-9100
(610) 384-3937
Mailing address
3000 C G ZINN ROAD, THE GREENVIEW PAVILION, THORNDALE, PA 19372
(610) 384-9100
(610) 384-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0E006907P
PA
152W00000X
Optometrist
Primary
OET008937
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016485200001
—
PA
Enumeration date
06/27/2006
Last updated
01/25/2021
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