Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN M PENNER, OD
Active Sole ProprietorSUSAN M PENNER, OD is a Optometrist healthcare provider located in BYRON, Illinois. NPI 1891842464 is currently active in the NPPES registry. Verify at CMS.
Optometrist · BYRON, IL
Registration Details
- NPI Number
- 1891842464
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 4, 2007 (19.597967185613 yrs)
- Last Updated
- Jun 18, 2018
- License
-
046-008009 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
134 E BLACKHAWK DRBYRON, IL, 61010Browse IL providers · Browse ZIP 61010
- Phone
- 8152342020
- Fax
- 8152347070
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in BYRON, IL
| Name | Credential | NPI |
|---|---|---|
| KUSH PATEL | — | 1659195436 |
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.