Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CALLISTA M SUSEN
ActiveCALLISTA M SUSEN is a Optician healthcare provider located in FAYETTEVILLE, North Carolina. NPI 1174293583 is currently active in the NPPES registry. Verify at CMS.
Optician · FAYETTEVILLE, NC
Registration Details
- NPI Number
- 1174293583
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 16, 2021 (4.9345800288253 yrs)
- Last Updated
- Sep 16, 2021
- License
-
RBT-21-167101 (NC)
Practice Information
- Address
-
6985 NEXUS CT STE 107FAYETTEVILLE, NC, 283043186Browse NC providers · Browse ZIP 28304
- Phone
- 9104933999
- Fax
- 9107284644
- Primary Specialty
-
Optician
156F00000X
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.