Suzanne M Acanne, O.D.
Individual provider Active NPI Optometrist · Detroit, MI
NPI 1093804692 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1093804692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4901004067 (MI)
- Practice address
- 2424 E 8 Mile Rd
Detroit, MI 48234-1010 - Phone
- (313) 366-5100
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901004067 | MI | MD | Optometrist |
Practice roles
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004067 | MI | Yes |
Addresses
Primary practice location
2424 E 8 Mile Rd
Detroit, MI 48234-1010
Mailing address
2424 E 8 Mile Rd
Detroit, MI 48234-1010
Phone (313) 366-5100
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.