Individual
DR. SUSAN B. STALLINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
859 NERO CT, CARMEL, IN 46032-1219
(317) 816-0151
Mailing address
859 NERO CT, CARMEL, IN 46032-1219
(317) 816-0151
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002446B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194820
MEDICARE PART B PROVIDER NUMBER
—
Enumeration date
02/15/2009
Last updated
03/31/2014
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