Nina Sussman

NPI 1427525518 · on the registry since 2018 · sole proprietor

Practice

Address: 36318 Memory Ln
Polson, MT 59860
Phone: (406) 883-9221
Organisation at this address: Walmart Inc.
Midtown Optometry Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 183500000X
183500000X
Also registered as: 183500000X
183500000X
Licence states on file: ID, NV, MT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-11-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana