NPI 1851446751

Rose Susel, ODOPTOMETRIST

Practitioner Optometrist Davidsonville, MD

Practice location

Address: 2510 Howard Grove Rd, Davidsonville, MD 21035
Phone: (410) 533-7763
Fax: (410) 956-2594

Registered specialties (3)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence TA1082 (MD)

Other Optometrist providers in Maryland →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence OP661 (DC)

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 0601001725 (VA)

Registry record

NPI: 1851446751
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jan 2007
Record last updated: 14 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.