Susan Devine (NPI# 1467590679, PAC ID# 2567658073) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1467590679 |
| PAC ID by PECOS | 2567658073 |
| Professional Enrollment ID | I20101123000783 |
| Full Name | Susan Devine |
| Organization Legal Name | SUSAN J DEVINE OD, LLC |
| Address |
44 Prospect Hill Rd East Windsor CT 06088-0438 |
| Phone Number | 8606238013 |
| Gender | F |
| Medical School | NEW ENGLAND COLLEGE OF OPTOMETRY |
| Graduation Year | 1995 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5496978736 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 44 Prospect Hill Rd, East Windsor, CT 06088-0438 | 8606238013 | SUSAN J DEVINE OD, LLC |
| Organization Legal Name | SUSAN J DEVINE OD, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Marie Gonzalez | Optometry | Susan J Devine Od, LLC | 44 Prospect Hill Rd, East Windsor, CT 06088-0438 |
| Street Address |
44 PROSPECT HILL RD |
| City | EAST WINDSOR |
| State | CT |
| Zip | 06088-0438 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Devina P Patel | Optometry | 44 Prospect Hill Rd, Suite 700, East Windsor, CT 06088-9501 | |
| Christina Marie Gonzalez | Optometry | Susan J Devine Od, LLC | 44 Prospect Hill Rd, East Windsor, CT 06088-0438 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheryl Marinone | Nurse Practitioner | 3 A Pasco Dr, East Windsor, CT 06088-1700 | |
| Tameko Penny | Clinical Social Worker | 44 S Main St, Suite 16, East Windsor, CT 06088-1702 | |
| Melvin Ira Spielberg | Internal Medicine | 148 N Rd, East Windsor, CT 06088-9502 | |
| Leonardi Koliani | Internal Medicine | Claris Health Pllc | 96 Prospect Hill Rd, East Windsor, CT 06088-9668 |
| Carol A Brackoneski | Clinical Social Worker | 38 Bridge St, East Windsor, CT 06088-9679 |
| City | EAST WINDSOR |
| Zip Code | 06088 |
| Specialty | OPTOMETRY |
| City + Specialty | EAST WINDSOR + 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.