Individual provider · Type 1 NPI
Susan Bailey Trader, LICENSED OPTICIAN
Technician/Technologist · Winston Salem, NC
NPI number
1609675396
Active
Practice location
4310 Enterprise Dr Ste I
Winston Salem, NC 27106-3260
Fax (336) 757-1202
Other practice locations
- 611 Coliseum Dr, Winston Salem, NC 27106-5310 · (336) 397-7200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Technician/Technologist Primary | 156F00000X | 1638 (NC) |
Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.
About NPI 1609675396
Susan Bailey Trader, LICENSED OPTICIAN's National Provider Identifier is 1609675396, issued on Mar 13, 2025. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Winston Salem, NC. The record was last updated on Mar 13, 2025.