Organization Active NPI

Dr. Susan Betts

  • Optometrist
  • Seaford, DE
National Provider Identifier
1306967732
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
I30001158 Issued in DE
Legal business name
DR. SUSAN BETTS
Practice address
23094 Atlanta Rd
Seaford, DE 19973-6911
Phone
(302) 629-6691
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Dr. Susan J Betts, O.D.
Title
Owner
Phone
(302) 629-6691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X I30001158 DE Primary

Addresses

Primary practice location

23094 Atlanta Rd
Seaford, DE 19973-6911

Mailing address

23094 Atlanta Rd
Seaford, DE 19973-6911
Phone (302) 629-6691

Other identifiers 7

IdentifierTypeStateIssuer
32341OtherDECOVENTRY
1419229005OtherDECIGNA
560251OtherDEAETNA
1578566923OtherDESOLO PROVIDER NPI
D000403OtherDECHAMPUS TRICARE
225125OtherDEMAMSI
410005314OtherDERAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1306967732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23094 ATLANTA RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199736911",
            "telephone_number": "302-629-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23094 ATLANTA RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199736911",
            "telephone_number": "302-629-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SUSAN BETTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "BETTS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-629-6691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I30001158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "32341",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1419229005",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "560251",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLO PROVIDER NPI",
            "identifier": "1578566923",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS TRICARE",
            "identifier": "D000403",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "225125",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410005314",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.