Active NPIIndividual providerSole proprietor

Susan B Leader, OD

Optometrist in Peabody, Massachusetts

NPI Number1194816009
Practice location
474 Lowell St, Peabody, MA 01960-1385
Fax
—
Last updated
April 27, 2009

Susan B Leader is an Optometrist based in Peabody, MA. Susan B Leader practices in Peabody, MA and has the professional credentials of OD. The NPI Number for Susan B Leader is 1194816009 and holds a License No. 3521 (MA). The current practice location address for Susan B Leader is 474 Lowell St, Peabody, MA 01960-1385 and can be reached out via phone at 978-535-3644.

Provider Profile Details

NPI Number
1194816009
Provider Name
Susan B Leader
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
474 Lowell St, Peabody, MA 01960-1385
Phone Number
978-535-3644
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 27, 2006
Last Update Date
April 27, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
474 Lowell St
Peabody, MA 01960-1385
Zip
01960-1385
Phone Number
978-535-3644
Peabody, MA 01960Get directions →

Provider Business Mailing Address Details

Address
61 Stillman RD
Lynnfield, MA 01940-1704
City
Lynnfield
State
MA
Zip
01940-1704
Phone Number
781-334-6972

License Information

License Number
3521
License State
MA
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Optometrists near Peabody, MA

View all Optometrists in Peabody →

Frequently Asked Questions

What is the NPI number of Susan B Leader, OD?

The NPI number of Susan B Leader, OD is 1194816009. It was assigned on September 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Susan B Leader, OD?

Susan B Leader, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 3521.

Where does Susan B Leader, OD practice?

The practice location is 474 Lowell St, Peabody, MA 01960-1385. The office can be reached at 978-535-3644 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194816009 directly on the NPPES registry website.

Browse related providers