Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN GROMACKI LATHROP, O.D.
ActiveDR. SUSAN GROMACKI LATHROP, O.D. is a Optometrist healthcare provider located in FULTON, Maryland. NPI 1255371407 is currently active in the NPPES registry. Verify at CMS.
Optometrist · FULTON, MD
Registration Details
- NPI Number
- 1255371407
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 7, 2006 (20.174995045341 yrs)
- Last Updated
- Dec 26, 2019
- Licenses
-
4901003970 (MI)TA2282 (MD)
Practice Information
- Address
-
8115 MAPLE LAWN BLVD.SUITE 135FULTON, MD, 207592681Browse MD providers · Browse ZIP 20759
- Phone
- 3014903036
- Fax
- 4432884694
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in FULTON, MD
| Name | Credential | NPI |
|---|---|---|
| DR. NUTAPORN SUKONTASUP | OD | 1104930817 |
| MILLIE CHANG | O.D. | 1285048629 |
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.