DAVID SUSEWITZ (NPI# 1417008350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417008350 |
| Entity Type | Individual |
| Full Name | DAVID SUSEWITZ |
| Practice Address |
2644 W Jefferson Ave Trenton MI 48183-2803 |
| Practice Telephone | 7346754060 |
| Mailing Telephone | 7346754060 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS | 900H21185 | 01 |
| Street Address |
2644 W JEFFERSON AVE |
| City | TRENTON |
| State | MI |
| Zip Code | 48183-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366693178 | David H Susewitz | Technician/Technologist | 2644 W Jefferson Ave, Trenton, MI 48183-2803 | 2008-10-10 |
| 1053594572 | David H Susewitz | Technician/Technologist | 2644 W Jefferson Ave, Trenton, MI 48183-2803 | 2007-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869324 | Tonya Saint Onge | Physical Therapy Assistant | Applewood Nursing Center, 18500 Van Horn Rd., Woodhaven, MI 48183 | 2019-09-09 |
| 1326568635 | Samantha Nicole Steffen | Behavior Technician | 3244 Concord, Trenton, MI 48183 | 2017-06-27 |
| 1225567688 | Nicholas Michael Abdallah | Dentist | 21080 Allen Road, Woodhaven, MI 48183 | 2017-06-08 |
| 1265823041 | Sherry A Dees Lmsw Acsw LLC | Counselor | 23933 Allen Road, Suite 3, Woodhaven, MI 48183 | 2015-02-14 |
| 1720480825 | Marlo Brazier | Technician, Other | 226000 West Rd, Apt 108, Trenton, MI 48183 | 2014-09-19 |
| 1679902597 | Henry Ford Wyandotte Hospital | Dietitian, Registered | 1640 Fort Street, Suite D Attn Denise, Trenton, MI 48183 | 2013-11-02 |
| 1548605116 | Kay Vonne Cason Psy Pllc | Psychologist | 19366 Allen Rd Ste. D, Brownstown, MI 48183 | 2013-05-08 |
| 1891031118 | Mazin K Dds PC | Dentist | 22319 King Rd, Woodhaven, MI 48183 | 2012-12-13 |
| 1114241585 | John Shafer | Psychologist | 1660 Fort St, Trenton, MI 48183 | 2010-03-15 |
| 1982871026 | Anthony G Gray | Physical Therapist | 20059 King Road, Woodhaven, MI 48183 | 2008-05-08 |
| Find all providers in zip 48183 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790964328 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2465 S Broad St, Trenton, NJ 08610-4700 | 2007-10-31 |
| 1023236072 | Douglas G Rutherford | Technician/Technologist | 216 Scotch Rd, Trenton, NJ 08628 | 2007-04-23 |
| 1932266681 | Jennifer Rhea Mcconnehea | Technician/Technologist | 128 E State St, Trenton, OH 45067-1528 | 2007-01-02 |
| 1881984938 | Lakes Region Opticians, Inc | Technician/Technologist | 390 Bar Harbor Rd, Trenton, ME 04605-5807 | 2011-04-11 |
| 1366693178 | David H Susewitz | Technician/Technologist | 2644 W Jefferson Ave, Trenton, MI 48183-2803 | 2008-10-10 |
| 1114184744 | Helen Barr Wilson | Technician/Technologist | 3420 West Rd, Trenton, MI 48183-2323 | 2008-05-21 |
| 1053594572 | David H Susewitz | Technician/Technologist | 2644 W Jefferson Ave, Trenton, MI 48183-2803 | 2007-12-06 |
| 1922214014 | Eyestyles Inc | Technician/Technologist | 1330 Parkway Ave, Trenton, NJ 08628-3006 | 2007-05-15 |
| 1902026750 | Robert Allen Hart | Technician/Technologist | 390 Bar Harbor Rd, Trenton, ME 04605-5807 | 2007-04-26 |
| 1194800011 | Jeffrey Lutsky | Technician/Technologist | 1330 Parkway Ave, Eyestyles, Trenton, NJ 08628-3006 | 2006-10-26 |
| Find all providers in TRENTON | ||||
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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.