Susan Maureen Poe, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002844B Issued in IN

Practice address

400 W Northfield Dr
Brownsburg, IN 46112-8122

Phone

(317) 858-3083

Fax

(317) 858-8403

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wes Johnson OD PA

  • Optometrist
  • Overland Park, KS
  • NPI 1154687291
  Medicare reassignment NPD
• Susan M. Whitehead O.D. Inc

  • Optometrist
  • Brownsburg, IN
  • NPI 1790934982
  NPD (past) Authorized official
• Professional Eyecare - Fountains Inc

  • Optometrist
  • Overland Park, KS
  • NPI 1518019199
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104922079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5790 GYRFALCON PL",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338938",
            "telephone_number": "317-818-0609",
            "fax_number": "317-858-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W NORTHFIELD DR",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461128122",
            "telephone_number": "317-858-3083",
            "fax_number": "317-858-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POE",
        "first_name": "SUSAN",
        "middle_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002844B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Steven Pizzato, D.O.
• Tricia Placido
• Danielle Plater
• Heather Pleak
• Pna Nurturing Care Service, LLC
• Shawnna Porter, RBT
• Kayla Potter
• Kathran Sophia Pouch
• Angelica Powell, MSW
• Ashley Powell, RBT

• Optometrist in Brownsburg, IN
• Providers in Brownsburg, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.