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NPI Code Detail

MEDICARE: DR. SUSAN ELIZABETH RZEPKA O.D.

MEDICARE:  DR. SUSAN ELIZABETH RZEPKA  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
1152W00000XOptometrist4651MA

General Provider Information

NPI Number : 1790958528
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN ELIZABETH RZEPKA O.D.
Provider Business Mailing Address
First Line : 39 GREEN ST
Second Line :
City : NEWBURYPORT
State : MA
Zip : 01950-2652
Country : US
Telephone Number : 978-465-8761
Fax Number :
Provider Business Practice Location Address
First Line : 39 GREEN ST
Second Line :
City : NEWBURYPORT
State : MA
Zip : 01950-2652
Country : US
Telephone Number : 978-465-8761
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2008
Last Update Date : 04/13/2008

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Directions to “ DR. SUSAN ELIZABETH RZEPKA O.D.” Practice Location

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