Individual provider Active NPI

Susan Lee Ference, O.D.

  • Optometrist
  • Hurst, TX
National Provider Identifier
1679618979
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
377OTG Issued in TX
Practice address
1101 Melbourne Rd
North East Mall Suite 5060
Hurst, TX 76053-6205
Phone
(817) 590-2022
Fax
(817) 595-0366
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 377OTG TX Primary

Addresses

Primary practice location

1101 Melbourne Rd
North East Mall Suite 5060
Hurst, TX 76053-6205

Mailing address

1101 Melbourne Rd
North East Mall Suite 5060
Hurst, TX 76053-6205
Phone (817) 590-2022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
377OTGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ference and Associates Optometrist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679618979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MELBOURNE RD",
            "address_2": "NORTH EAST MALL SUITE 5060",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760536205",
            "telephone_number": "817-590-2022",
            "fax_number": "817-595-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MELBOURNE RD",
            "address_2": "NORTH EAST MALL SUITE 5060",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760536205",
            "telephone_number": "817-590-2022",
            "fax_number": "817-595-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERENCE",
        "first_name": "SUSAN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "377OTG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.