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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285635581 NPPES
North Carolina Other 0261N BCBS GROUP NUMBER
North Carolina MEDICAID 89093NJ BCBS GROUP NUMBER

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