Susan Durham, OD

Individual Active
NPI 1023043163
Pediatric Optometrist Raleigh, NC

NPI 1023043163 belongs to Susan Durham, OD, a pediatric optometrist with a practice location in Raleigh, NC. The NPI was issued on July 11, 2006, and the record was last updated in NPPES on September 29, 2011. The record lists 5 taxonomy codes.

This record hasn't been updated in NPPES since 2011. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Optometrist Primary 152WP0200X 1335 (NC)
Corneal and Contact Management Optometrist 152WC0802X 1335 (NC)
Low Vision Rehabilitation Optometrist 152WL0500X 1335 (NC)
Sports Vision Optometrist 152WS0006X 1335 (NC)
Vision Therapy Optometrist 152WV0400X 1335 (NC)

Practice location

10207 Cerny St
Suite 100
Raleigh, NC 27617-7878
Phone: (919) 361-2299

Local context

Active NPPES records list 2 providers with pediatric optometrist as the primary taxonomy within 25 miles of this practice location's ZIP code, 1 of them within 10 miles.

The same primary taxonomy is listed by 2 in North Carolina and 323 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Susan Licata Durham
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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