Individual
DR. SUSAN MARIANNE O'SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1341 BOYLSTON ST, BOSTON, MA 02215-3909
(508) 661-9532
Mailing address
1341 BOYLSTON ST, BOSTON, MA 02215-3909
(508) 661-9532
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4515
MA
152WP0200X
Pediatric Optometrist
4515
MA
152WV0400X
Vision Therapy Optometrist
4515
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110073128
—
MA
Enumeration date
08/31/2006
Last updated
06/11/2019
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