Susan Evans is a Optometrist in South Windsor, Connecticut. Susan Evans practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Susan Evans is 1629106729. The last update date is 2022-11-30.
Susan Evans's current location address is 93 Evergreen Way, South Windsor, Connecticut. You can contact this provider via phone number 8608264460 and fax number 8608264436. The mailing address for Susan Evans is 93 Evergreen Way, South Windsor, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Evans |
|---|---|
| Address | 93 Evergreen Way, South Windsor, Connecticut |
| Phone Number | 8608264460 |
| Fax Number | 8608264436 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1629106729 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2022-11-30 |
Provider Mailing Address Detail
| Address | 93 Evergreen Way |
|---|---|
| City | South Windsor |
| State | Connecticut (CT) |
| Post Code | 60746975 |
| Phone Number | 8608264460 |
| Fax Number | 8608264436 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2478 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4188847 | CT | -- | |
| 1255448155 | CT | GHMC GROUP MEDICAID ID | |
| CT2478 | CT | EYE MED VISION CARE | |
| 090002478CT04 | CT | BCBS & BCFP PROVIDER ID | |
| 102478 | CT | CONNECTICARE | |
| 1255448155 | CT | GHMC GROUP NPI | |
| 2V9149 | CT | HEALTH NET | |
| 932470 | CT | BLOCK VISION |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Susan Evans by the Centers for Medicare & Medicaid Services?
The Susan Evans has been assigned the NPI (National Provider Identifier) 1629106729 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Susan Evans?
The Susan Evans is physically situated at 93 Evergreen Way, in the city of South Windsor, state of CT, with the postal code 60746975.
What is the Susan Evans's area of specialization and corresponding taxonomy classification?
The Susan Evans's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
When did the Susan Evans receive its 1629106729?
The Susan Evans was issued its 1629106729 on 2007-03-01, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Susan Evans last refreshed?
The information related to the Susan Evans, including its address, specialty, and other relevant details, was last updated on 2022-11-30.