Active NPIIndividual provider

Dr. Susan M Gardner, OD

Optometrist in Ledgewood, New Jersey

NPI Number1831338102
Practice location
410 Route 10, Suite 202 West Ten Plaza, Ledgewood, NJ 07852
Fax
—
Last updated
February 11, 2009

Susan Mcmahon Gardner is an Optometrist based in Ledgewood, NJ. Susan Mcmahon Gardner practices in Ledgewood, NJ and has the professional credentials of OD. The NPI Number for Susan Mcmahon Gardner is 1831338102 and holds a License No. 27OA00481600 (NJ). The current practice location address for Susan Mcmahon Gardner is 410 Route 10, Suite 202 West Ten Plaza, Ledgewood, NJ 07852 and can be reached out via phone at 973-584-2020.

Provider Profile Details

NPI Number
1831338102
Provider Name
Susan Mcmahon Gardner
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
410 Route 10, Suite 202 West Ten Plaza, Ledgewood, NJ 07852
Phone Number
973-584-2020
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Other Names
Dr. Susan Elizabeth Mcmahon, SUSAN (Former Name)
Provider Enumeration Date
February 11, 2009
Last Update Date
February 11, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
410 Route 10
Suite 202 West Ten Plaza
Ledgewood, NJ 07852
Zip
07852
Phone Number
973-584-2020
Ledgewood, NJ 07852Get directions →

Provider Business Mailing Address Details

Address
410 Route 10
Suite 202 West Ten Plaza
Ledgewood, NJ 07852
City
Ledgewood
State
NJ
Zip
07852
Phone Number
973-584-2020

License Information

License Number
27OA00481600
License State
NJ
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Dr. Susan M Gardner, OD?

The NPI number of Dr. Susan M Gardner, OD is 1831338102. It was assigned on February 11, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Susan M Gardner, OD?

Dr. Susan M Gardner, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00481600.

Where does Dr. Susan M Gardner, OD practice?

The practice location is 410 Route 10, Suite 202 West Ten Plaza, Ledgewood, NJ 07852. The office can be reached at 973-584-2020 (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 1831338102 directly on the NPPES registry website.

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