DR. SUSAN GROMACKI LATHROP (NPI# 1255371407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255371407 |
| Entity Type | Individual |
| Full Name | DR. SUSAN GROMACKI LATHROP |
| Credential | O.D. |
| Practice Address |
8115 Maple Lawn Blvd. Suite 135 Fulton MD 20759-2681 |
| Mailing Address |
4868 Green Bridge Rd Dayton MD 21036-1211 |
| Practice Telephone | 3014903036 |
| Practice Fax Number | 4432884694 |
| Mailing Telephone | 4105316967 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2019-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TA2282 | MD | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 4901003970 | MI | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982919817 | Susan Lathrop | Nurse Practitioner | 1215 Pleasant St, Blank Children's Hospital, Des Moines, IA 50309-1416 | 2010-08-16 |
| Street Address |
8115 MAPLE LAWN BLVD. SUITE 135 |
| City | FULTON |
| State | MD |
| Zip Code | 20759-2681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912528274 | Drayer Physical Therapy of Maryland LLC | Clinic/Center | 11710 E Market Place, Suite F, Fulton, MD 20759 | 2020-04-28 |
| 1174081913 | Darrius Humphrey | Counselor | 7625 Wood Lawn Boulevard, Medical Arts Building, Suite Ll50, Laurel, MD 20759 | 2019-03-12 |
| 1578986105 | Total Investment & Marketing, Inc | Assisted Living Facility | 12026 Scaggsville Road, Fulton, MD 20759 | 2014-02-03 |
| 1235489030 | First Sight Vision Care LLC | Clinic/Center | 8160 Maple Lawn Blvd, Suite 140, Fulton, MD 20759 | 2012-09-19 |
| 1669730941 | Urenna Acholonu | Obstetrics & Gynecology | 7625 Maple Lawn Blvd Lowr Lobby, Fulton, MD 20759 | 2012-04-24 |
| 1528228418 | Jill Stern May | Physical Therapist | 11830 W Market Pl Ste D, Fulton, MD 20759 | 2008-06-13 |
| 1750580346 | Standard Medical Home Healthcare, LLC | Home Health | 8115 Maple Lawn Blvd Ste 350, Fulton, MD 20759 | 2007-07-13 |
| 1144388729 | Loretta Sutphin Stenzel | Family Medicine | 8115 Maple Lawn Blvd Ste 140, Fulton, MD 20759 | 2006-12-05 |
| 1659488294 | Tara Guretzky | Ophthalmology | 7625 Maple Lawn Blvd Ste 200, Fulton, MD 20759 | 2006-08-23 |
| 1417327487 | Judith Greengold | Nurse Practitioner | 8115 Maple Lawn Blvd Ste 140, Fulton, MD 20759 | 2015-10-02 |
| Find all providers in zip 20759 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598182057 | Edward Lauer | Optometrist | 7 Tucker Ln, Fulton, MO 65251-2317 | 2014-03-23 |
| 1619317377 | Cagle Eye Center | Optometrist | 402 Access Rd, Fulton, MS 38843-6607 | 2013-06-26 |
| 1740416429 | Joshua Michael Hatfield | Optometrist | 1310 E Walker St, Fulton, MS 38843 | 2009-06-08 |
| 1821205568 | Katherine Louise Osborn | Optometrist | 1877a N. Bluff St., Fulton, MO 65251-2465 | 2007-05-16 |
| 1558410035 | Laurie Wade Cagle | Optometrist | 301 Hospital Rd., Fulton, MS 38843-0519 | 2007-01-10 |
| 1003990193 | Total Eye Care PC | Optometrist | 1310 E. Walker St., Fulton, MS 38843 | 2006-10-25 |
| 1043394208 | Steve Beaty | Optometrist | 1310 East Walker Street, Fulton, MS 38843-0356 | 2006-10-24 |
| 1962501353 | Sharon K Batek | Optometrist | 405 Court St, Fulton, MO 65251-1724 | 2006-09-21 |
| 1104930817 | Nutaporn Sukontasup | Optometrist | 8115 Maple Lawn Blvd, Suite 135, Fulton, MD 20759-2681 | 2006-08-18 |
| 1154345551 | Midwest Vision Clinic Plc | Optometrist | 1130 17th Street, Fulton, IL 61252 | 2006-07-27 |
| Find all providers in FULTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.