MEDICARE: DR. SUSAN A BELL O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	271A00364200	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124021894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUSAN A BELL O.D.

Provider Business Mailing Address
First Line	:	1964 N OLDEN AVENUE EXT
Second Line	:
City	:	TRENTON
State	:	NJ
Zip	:	08618-2110
Country	:	US
Telephone Number	:	609-883-4407
Fax Number	:	609-883-4085

Provider Business Practice Location Address
First Line	:	1964 N OLDEN AVENUE EXT
Second Line	:
City	:	TRENTON
State	:	NJ
Zip	:	08618-2110
Country	:	US
Telephone Number	:	609-883-4407
Fax Number	:	609-883-4085

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	11/18/2010

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