Provider Demographics
NPI:1730368648
Name:FERENCZHALMY, SUZANNE R (OD)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:R
Last Name:FERENCZHALMY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:R
Other - Last Name:RAKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:811 N CENTRAL EXPY STE 1005
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-5102
Mailing Address - Country:US
Mailing Address - Phone:972-633-5000
Mailing Address - Fax:972-423-0545
Practice Address - Street 1:811 N CENTRAL EXPY STE 1005
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-5102
Practice Address - Country:US
Practice Address - Phone:972-633-5000
Practice Address - Fax:972-423-0545
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-26
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7147T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist