Wise, Susan Beard
Wise, Susan Beard is an individual health care provider with primary practice located at 63 Chestnut St , Mars Hill NC 28754-7542. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wise, Susan Beard can be contacted via phone (828) 689-4206.Contact Information
Primary practice address
63 Chestnut St
Mars Hill NC 28754-7542
Phone: (828) 689-4206
Fax: (828) 689-4206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1472 | North Carolina |
Profile Details
| NPI number | 1285635581 |
|---|---|
| LBN Legal business name | Wise, Susan Beard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Feb 20th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285635581 | NPPES |
| North Carolina | Other | 0261N | BCBS GROUP NUMBER |
| North Carolina | MEDICAID | 89093NJ | BCBS GROUP NUMBER |
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