National Provider Identifier Database

SUSAN M PENNER
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

SUSAN M PENNER
363 S RANDALL RD
ELGIN, IL60123
Phone: 847-888-1555
Fax: 847-888-2508
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for SUSAN M PENNER

NPI Number 1508088683
Legal business name
LBN
SUSAN M PENNER
Authorized official SUSAN PENNER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/02/2007
Last updated 05/20/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • IL Other: 4515286 BCBS
  • IL Other: 0253870002 DMERC
  • IL Other: 0253870001 MEDICARE SUPPLIER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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