Susan Bailey Trader, LICENSED OPTICIAN

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

License

1638 Issued in NC

Practice address

4310 Enterprise Dr Ste I
Winston Salem, NC 27106-3260

Phone

(336) 757-1120

Fax

(336) 757-1202

NPI assigned

Mar 13, 2025

Last updated

Mar 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Salem Optical Outlet

  dba Salem Optical Company

  • Eyewear Supplier
  • Winston Salem, NC
  • NPI 1912443755
  NPD (past)

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1609675396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 ENTERPRISE DR STE I",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063260",
            "telephone_number": "336-757-1120",
            "fax_number": "336-757-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 ENTERPRISE DR STE I",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063260",
            "telephone_number": "336-757-1120",
            "fax_number": "336-757-1202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 Coliseum Dr",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271065310",
            "country_code": "US",
            "telephone_number": "336-397-7200",
            "fax_number": "336-397-0775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRADER",
        "first_name": "SUSAN",
        "middle_name": "BAILEY",
        "credential": "LICENSED OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "NC",
            "license": "1638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Richard Towner
• Edward Mosely Townes III, DDS
• Amy P Townsend, ANP-BC
• Elizabeth Bennett Townsend, M.S.
• Katherine Cole Townsend, CRNA
• Morgan Ashley Trammel, PHARMD
• Amber Mai Tran
• Lan CHI Bich Tran, M.D.
• Stephen Philip Tranchina, MD
• Jane Trangay Amarra

• Technician/Technologist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Technician/Technologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.