Susan Simpson Sullenberger (NPI# 1700092350, PAC ID# 1254328321) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1700092350 |
| PAC ID by PECOS | 1254328321 |
| Professional Enrollment ID | I20120410000513 |
| Full Name | Susan Simpson Sullenberger |
| Organization Legal Name | COASTAL EYE ASSOCIATES INC. |
| Address |
2400 Veterans Memorial Pkwy Orange City FL 32763-1700 |
| Phone Number | 3867742400 |
| Gender | F |
| Graduation Year | 2000 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8921095092 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2400 Veterans Memorial Pkwy, Orange City, FL 32763-1700 | 3867742400 | COASTAL EYE ASSOCIATES INC. |
| Organization Legal Name | COASTAL EYE ASSOCIATES INC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Bruce Brantley | Optometry | Coastal Eye Associates Inc. | 2400 Veterans Memorial Pkwy, Orange City, FL 32763-1700 |
| Street Address |
2400 VETERANS MEMORIAL PKWY |
| City | ORANGE CITY |
| State | FL |
| Zip | 32763-1700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Bruce Brantley | Optometry | Coastal Eye Associates Inc. | 2400 Veterans Memorial Pkwy, Orange City, FL 32763-1700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Marie Moodie | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Paul Bond | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Nakesha R Miller | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Elaine L Lawless | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Sherri A Ferguson | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Mary Frances Riggins | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Traci Lynn Zimmer | Nurse Practitioner | Primary Care of Orange City LLC | 135 E Minnesota Ave, Orange City, FL 32763-2312 |
| Raymond De Castro | Psychiatry | Primary Care of Orange City LLC | 135 E Minnesota Ave, Orange City, FL 32763-2312 |
| John Croker | Nurse Practitioner | Primary Care of Orange City LLC | 135 E Minnesota Ave, Orange City, FL 32763-2312 |
| Brian Leung | Orthopedic Surgery | Brian Leung, Md | 1639 N Volusia Ave, Suite B, Orange City, FL 32763-3843 |
| Find all physicians in zip 32763 | |||
| City | ORANGE CITY |
| Zip Code | 32763 |
| Specialty | OPTOMETRY |
| City + Specialty | ORANGE CITY + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.