SUSAN BAILEY TRADER LICENSED OPTICIAN
NPI 1609675396
Technician/Technologist in Winston Salem, NC

Q: What is Susan Trader's NPI number?

The NPI number for Susan Trader is 1609675396. It was assigned to this individual provider in the NPPES registry on March 13, 2025.

Q: What is Susan Trader's specialty?

The primary specialty registered for this NPI is Technician/Technologist with taxonomy code 156F00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Trader was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 13, 2025

4310 ENTERPRISE DR STE I, WINSTON SALEM, NC 27106(336) 757-1120(336) 757-1202 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Susan Bailey Trader Licensed Optician NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN BAILEY TRADER LICENSED OPTICIAN (NPI 1609675396) is an individual technician/technologist in Winston Salem, North Carolina, licensed in North Carolina (1638) and active in the NPI registry since March 2025. She maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1609675396

Entity TypeIndividualFemale

Primary Taxonomy156F00000X

Provider Legal NameSUSAN BAILEY TRADERCredential: LICENSED OPTICIAN

Location Address4310 ENTERPRISE DR STE IWinston Salem, NC 27106-3260

Mailing Address4310 Enterprise Dr Ste IWinston Salem, NC 27106-3260 · (336) 757-1120 · Fax (336) 757-1202

Phone(336) 757-1120

Fax(336) 757-1202

Sole ProprietorNo

Enumeration DateMarch 13, 2025

NPPES CertifiedMarch 13, 2025

✔ NPI 1609675396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/TechnologistEye and Vision Services Providers

Taxonomy Code156F00000X

License✔ Licensed in NC · 1638

Definition

A broad category grouping different kinds of technologists and technicians. See individual definitions.

4310 ENTERPRISE DR STE I, Winston Salem, NC 27106

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Secondary Practice Location 1

Location 1611 Coliseum DrWinston Salem, NC 27106-5310 · Phone (336) 397-7200 · Fax (336) 397-0775

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Trader's NPI number?

The NPI number for Susan Trader is 1609675396. It was assigned to this individual provider in the NPPES registry on March 13, 2025.

Where is Susan Trader located?

Susan Trader practices at 4310 Enterprise Dr Ste I, Winston Salem, NC 27106. The listed phone number is (336) 757-1120.

What is Susan Trader's specialty?

The primary specialty registered for this NPI is Technician/Technologist with taxonomy code 156F00000X.

When was this NPI record last updated?

The NPPES record for Susan Trader was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.