MEDICARE: SUZANNE M. DAY, O.D. INC

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	OPC 4091	FL

General Provider Information

NPI Number	:	1508818584
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUZANNE M. DAY, O.D. INC

Provider Business Mailing Address
First Line	:	97 BAY BRIDGE DR
Second Line	:
City	:	GULF BREEZE
State	:	FL
Zip	:	32561-4468
Country	:	US
Telephone Number	:	850-932-4184
Fax Number	:	850-932-9353

Provider Business Practice Location Address
First Line	:	97 BAY BRIDGE DR
Second Line	:
City	:	GULF BREEZE
State	:	FL
Zip	:	32561-4468
Country	:	US
Telephone Number	:	850-932-4184
Fax Number	:	850-932-9353

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SUZANNE MARIE DAY
Credential	:	O.D.
Telephone Number	:	850-932-4184

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	12/05/2007

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