Susan Fisher, OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004117 Issued in NY

Legal business name

SUSAN FISHER, OD PLLC

Practice address

1600 Stewart Ave Ste 108
Westbury, NY 11590-6611

Phone

(516) 783-6460

NPI assigned

Aug 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Susan Fisher, O.D.

Title

President

Phone

(516) 783-6460

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1275812570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 STEWART AVE STE 108",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906611",
            "telephone_number": "516-783-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 STEWART AVE STE 108",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906611",
            "telephone_number": "516-783-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN FISHER, OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-783-6460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275812570",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Westbury, NY
• Providers in Westbury, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.