Susana Chan (NPI# 1619002854, PAC ID# 3971585712) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1619002854 |
| PAC ID by PECOS | 3971585712 |
| Professional Enrollment ID | I20070719000330 |
| Full Name | Susana Chan |
| Organization Legal Name | 20/20 VISION CARE, INC. |
| Address |
375 Metacom Ave Bristol RI 02809-5179 |
| Phone Number | 4012532020 |
| Gender | F |
| Credential | OD |
| Medical School | STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY |
| Graduation Year | 2001 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0547210452 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 375 Metacom Ave, Bristol, RI 02809-5179 | 4012532020 | 20/20 VISION CARE, INC. |
| 891 Westminster St, Providence, RI 02903-4020 | 4013317850161 | WESTMINSTER EYECARE ASSOCIATES INC |
| Organization Legal Name | 20/20 VISION CARE, INC. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy B Iacono | Optometry | 20/20 Vision Care, Inc. | 375 Metacom Ave, Bristol, RI 02809-5179 |
| William W St Vincent | Optometry | 20/20 Vision Care, Inc. | 375 Metacom Ave, Bristol, RI 02809-5179 |
| Street Address |
375 METACOM AVE |
| City | BRISTOL |
| State | RI |
| Zip | 02809-5179 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy B Iacono | Optometry | 20/20 Vision Care, Inc. | 375 Metacom Ave, Bristol, RI 02809-5179 |
| William W St Vincent | Optometry | 20/20 Vision Care, Inc. | 375 Metacom Ave, Bristol, RI 02809-5179 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael F Gilson | Cardiovascular Disease (cardiology) | Lifespan Physician Group Inc | 1180 Hope St, Bristol, RI 02809-1126 |
| David W Rowe | Diagnostic Radiology | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Nancy E Castro | Nurse Practitioner | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Brian G Abbott | Cardiovascular Disease (cardiology) | Lifespan Physician Group Inc | 1180 Hope St, Bristol, RI 02809-1126 |
| Andrew J Going | Physical Therapy | Bristol County Physical Therapy and Sports Rehabilitation LLC | 1180 Hope St, Bristol, RI 02809-1126 |
| Joseph A Farina | Cardiovascular Disease (cardiology) | Lifespan Physician Group Inc | 1180 Hope St, Bristol, RI 02809-1126 |
| Michael A Reuter | Podiatry | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Ozden Bulut | Diagnostic Radiology | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Howard F Perrone | Internal Medicine | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Aamir Ahmad | Diagnostic Radiology | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Find all physicians in zip 02809 | |||
| City | BRISTOL |
| Zip Code | 02809 |
| Specialty | OPTOMETRY |
| City + Specialty | BRISTOL + OPTOMETRY |
Please comment or provide details below to improve the information on Susana Chan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.