Provider Demographics
NPI:1861544827
Name:DONALD, SUSAN GIROUX (OD)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:GIROUX
Last Name:DONALD
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 NORTH ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75633
Mailing Address - Country:US
Mailing Address - Phone:903-694-2300
Mailing Address - Fax:903-694-2333
Practice Address - Street 1:403 N ADAMS ST
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:TX
Practice Address - Zip Code:75633
Practice Address - Country:US
Practice Address - Phone:903-694-2300
Practice Address - Fax:903-694-2333
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1654-688AT152W00000X
TX4586T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist