NPI 1487092078 · live from the CMS NPI Registry
Susie C Drake, M.D.
Ophthalmology in Madison, WI. National Provider Identifier 1487092078, active.
NPI record
| NPI | 1487092078 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 2880 University Ave, Madison, WI 53705 |
| Practice phone | 608-263-7171 |
| Mailing address | 123 Hospital Dr, Ste 1002, Watertown, WI 53098 |
| Enumerated | June 5, 2013 |
| Last updated | June 1, 2018 |
| Sole proprietor | No |
| Other names | Susie Chen |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Ophthalmology primary | 207W00000X | 66916 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.