Dr Susan Pietrowski, Optometrist LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001739 Issued in VA

Legal business name

DR SUSAN PIETROWSKI, OPTOMETRIST LLC

Doing business as

Monticello Eye Care

Practice address

4630 Monticello Ave
Williamsburg, VA 23188-8200

Phone

(757) 253-7901

NPI assigned

Oct 21, 2015

Last updated

Oct 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susan Pietrowski

Title

Optometrist/Owner

Phone

(757) 253-7901

Specialties & licenses 1

Addresses

Other names 1

• Monticello Eye Care Doing business as

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1730551441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5651",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885210",
            "telephone_number": "757-253-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 MONTICELLO AVE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888200",
            "telephone_number": "757-253-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SUSAN PIETROWSKI, OPTOMETRIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "PIETROWSKI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "757-253-7901",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monticello Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dr. William Sutherland LTD

• Optometrist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.