MEDICARE: MRS. SUSAN LEE FERENCE 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	377OTG	TX

General Provider Information

NPI Number	:	1679618979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SUSAN LEE FERENCE O.D.

Provider Business Mailing Address
First Line	:	1101 MELBOURNE RD
Second Line	:	NORTH EAST MALL SUITE 5060
City	:	HURST
State	:	TX
Zip	:	76053-6205
Country	:	US
Telephone Number	:	817-590-2022
Fax Number	:	817-595-0366

Provider Business Practice Location Address
First Line	:	1101 MELBOURNE RD
Second Line	:	NORTH EAST MALL SUITE 5060
City	:	HURST
State	:	TX
Zip	:	76053-6205
Country	:	US
Telephone Number	:	817-590-2022
Fax Number	:	817-595-0366

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

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1336208438 — VALENCIA HEREFORD
Practice Location Address:

1101 MELBOURNE RD , SUITE 2105
HURST, TX
76053-6205

Practice Phone: 817-268-4867
Practice Fax:

1649548918 — VISIONWORKS, INC.
Practice Location Address:

1101 MELBOURNE RD , SUITE #2070
HURST, TX
76053-6205

Practice Phone: 817-284-2717
Practice Fax: 817-284-2957

1689082380 — FERENCE & ASSOCIATES, P.C.
Practice Location Address:

1101 MELBOURNE RD , SUITE #5060
HURST, TX
76053-6205

Practice Phone: 817-590-2022
Practice Fax: 817-595-0366

1598258733 — LUXOTTICA OF AMERICA INC
Practice Location Address:

1101 MELBOURNE RD
HURST, TX
76053-6205

Practice Phone: 817-284-0836
Practice Fax:

1639721392 — DR. SHANE LUCAS TIBILETTI OD
Practice Location Address:

1101 MELBOURNE RD # 217
HURST, TX
76053-6205

Practice Phone: 817-284-0798
Practice Fax:

1639728603 — KIRSTEN BEVAN FOWLER OD
Practice Location Address:

1101 MELBOURNE RD STE 3091
HURST, TX
76053-6205

Practice Phone: 817-284-8686
Practice Fax:

Directions to “ MRS. SUSAN LEE FERENCE O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.