Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN LICATA DURHAM, OD
ActiveDR. SUSAN LICATA DURHAM, OD is a Pediatric Optometrist healthcare provider located in RALEIGH, North Carolina. NPI 1023043163 is currently active in the NPPES registry. Verify at CMS.
Pediatric Optometrist · RALEIGH, NC
Registration Details
- NPI Number
- 1023043163
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 11, 2006 (20.10825984049 yrs)
- Last Updated
- Sep 29, 2011
- Licenses
-
1335 (NC)1335 (NC)1335 (NC)1335 (NC)1335 (NC)
Practice Information
- Address
-
10207 CERNY STSUITE 100RALEIGH, NC, 276177878Browse NC providers · Browse ZIP 27617
- Phone
- 9193612299
- Fax
- 9193610055
- Primary Specialty
-
Pediatric Optometrist
152WP0200X
- Additional Specialty
- Low Vision Rehabilitation Optometrist
- Additional Specialty
- Pediatric Optometrist
- Additional Specialty
- Sports Vision Optometrist
- Additional Specialty
- Vision Therapy Optometrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.