PEONY CRYSTAL TAM-SUAREZ (NPI# 1053740225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053740225 |
| Entity Type | Individual |
| Full Name | PEONY CRYSTAL TAM-SUAREZ |
| Credential | O.D. |
| Practice Address |
250 W 5th St Hanford CA 93230-5029 |
| Mailing Address |
3710 N Central St Visalia CA 93291-8175 |
| Practice Telephone | 8779603426 |
| Mailing Telephone | 9494636707 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 15089 | CA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | OD 60371650 | WA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WASHINGTON STATE DEPARTMENT OF HEALTH | OD 60371650 | 01 |
| Street Address |
250 W 5TH ST |
| City | HANFORD |
| State | CA |
| Zip Code | 93230-5029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467504530 | Family Healthcare Network | Clinic/Center | 250 W 5th St, Hanford, CA 93230 | 2007-01-17 |
| 1760097638 | Anthony Yen | Dentist | 250 W 5th St, Hanford, CA 93230-5029 | 2020-09-08 |
| 1043829229 | Jessi Elizabeth Riel | Physician Assistant | 250 W 5th St, Hanford, CA 93230-5029 | 2020-07-23 |
| 1932725397 | Rosa De La Paz | Pharmacist | 250 W 5th St, Hanford, CA 93230-5029 | 2020-06-22 |
| 1235774175 | Fanny M Powell | Nurse Practitioner | 250 W 5th St, Hanford, CA 93230-5029 | 2019-11-14 |
| 1629610050 | Druce V Menon | Physician Assistant | 250 W 5th St, Hanford, CA 93230-5029 | 2019-10-17 |
| 1952958738 | Ashley Joseph Yang-halsey | Physician Assistant | 250 W 5th St, Hanford, CA 93230-5029 | 2019-08-26 |
| 1174091508 | Adriana Marie Matos | Family Medicine | 250 W 5th St, Hanford, CA 93230-5029 | 2018-11-03 |
| 1851875215 | Jenna Marie Burchfield | Physician Assistant | 250 W 5th St, Hanford, CA 93230-5029 | 2018-09-21 |
| 1982105474 | Amber Potter | Nurse Practitioner | 250 W 5th St, Hanford, CA 93230 | 2018-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889518 | Jeremy Dane Baker | Hearing Instrument Specialist | 1413-b Bailey Dr., Hanford, CA 93230 | 2020-10-22 |
| 1891392643 | Matthew Thomas Williams | Physician Assistant | Adventist Health Hanford, 115 Mall Dr., Hanford, CA 93230 | 2020-10-05 |
| 1730795667 | Mercedes Zaragoza | Behavior Technician | 520 1ab, W. Lacey Blvd., Hanford, CA 93230 | 2020-09-16 |
| 1659989077 | Anmarie Torres | Behavior Technician | 520 1a&b W Lacey Blvd, Hanford, CA 93230 | 2020-07-22 |
| 1326506965 | Natalie Rodriguez Mejia | Marriage & Family Therapist | 1393 Bailey Drive St, Hanford, CA 93230 | 2019-03-02 |
| 1972094597 | Mariah Michelle Davila | Licensed Psychiatric Technician | 1529 W Sidonia St, Hanford, CA 93230 | 2018-05-21 |
| 1871011072 | Amanda Leann Perez | Counselor | 629 N. Irwin Street, Hanford, CA 93230 | 2017-09-07 |
| 1336667906 | Nicole Reyne Mcgowan | Case Manager/Care Coordinator | 700 N. Irwin Street, Hanford, CA 93230 | 2017-09-05 |
| 1932643251 | Diana Tran Nguyen | Midwife | 1122 N Harris St Ste 104, Hanford, CA 93230 | 2016-12-05 |
| 1770032997 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2395 E. Lacey Blvd, Hanford, CA 93230 | 2016-09-29 |
| Find all providers in zip 93230 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619317153 | Lian Phetphouvong Johnston | Optometrist | 202 W Myrtle St, Hanford, CA 93230-3805 | 2013-06-28 |
| 1316010333 | Suzanne L Cardoza | Optometrist | 665 N Douty St, Hanford, CA 93230-3912 | 2006-11-16 |
| 1750451159 | Nicole Dean Esqueda | Optometrist | 115 N Irwin St, Hanford, CA 93230-4537 | 2006-11-09 |
| 1104995570 | Jeffrey Wade White | Optometrist | 715 N Irwin St, Hanford, CA 93230-3813 | 2006-11-07 |
| 1366482374 | Nasiruddin Ali Khan | Optometrist | 431 N Irwin St, Hanford, CA 93230-4425 | 2006-06-07 |
| 1104812346 | Ronald Stephen Keck | Optometrist | 1395 W Lacey Blvd, Hanford, CA 93230-5904 | 2005-09-22 |
| 1922643584 | Nathan Panttaja | Optometrist | 1395 W Lacey Blvd, Hanford, CA 93230-5904 | 2019-11-07 |
| 1306408489 | Danielle Vanbaren | Optometrist | 431 N Irwin St, Hanford, CA 93230-4425 | 2019-06-28 |
| 1366910556 | Lian Johnston Od | Optometrist | 202 W Myrtle St, Hanford, CA 93230-3805 | 2018-11-06 |
| 1952714610 | Aakash Shah | Optometrist | 431 N Irwin St, Hanford, CA 93230-4425 | 2014-06-10 |
| Find all providers in HANFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.