DR. STEVEN TINGGANG SU (NPI# 1417574633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417574633 |
| Entity Type | Individual |
| Full Name | DR. STEVEN TINGGANG SU |
| Credential | OD |
| Practice Address |
290 Coddingtown Ctr Santa Rosa CA 95401-3506 |
| Mailing Address |
1251 Lemon Tree Dr La Habra CA 90631-6910 |
| Practice Telephone | 7075083371 |
| Mailing Telephone | 5625654819 |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2020-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 34572 | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497006852 | Steven David Su | Social Worker | 3375 S Hoover St, Suite H-201, Los Angeles, CA 90089-0116 | 2012-09-26 |
| Street Address |
290 CODDINGTOWN CTR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568943264 | Danny Chen Le | Optometrist | 290 Coddingtown Ctr, Santa Rosa, CA 95401-3506 | 2018-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| 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 |
|---|---|---|---|---|
| 1568943264 | Danny Chen Le | Optometrist | 290 Coddingtown Ctr, Santa Rosa, CA 95401-3506 | 2018-08-22 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1912241761 | Erica Shu-yeu Wu | Optometrist | 2655 Cleveland Ave Ste A, Santa Rosa, CA 95403 | 2012-11-18 |
| 1437467859 | Margot Shipley | Optometrist | 1430 Guerneville Rd Ste 3, Santa Rosa, CA 95403-4158 | 2010-09-20 |
| 1376771808 | R. David Jones, O.d. | Optometrist | 800 4th St, Santa Rosa, CA 95404-4505 | 2009-06-23 |
| 1194976936 | Nicole Janell Wood | Optometrist | 1430 Guerneville Rd., #3, Santa Rosa, CA 95403-4158 | 2008-10-09 |
| 1962677369 | Ladan Nazari | Optometrist | 1054 Santa Rosa Plz, Santa Rosa, CA 95401-6345 | 2008-04-25 |
| 1710193651 | Tom Tseng | Optometrist | 3540 Mendocino Ave Ste 200, Santa Rosa, CA 95403-3639 | 2007-05-15 |
| 1174673727 | Harris R.young,o.d. | Optometrist | 1311 W Steele Ln, Santa Rosa, CA 95403-2956 | 2007-01-12 |
| 1619032695 | James Michael Harmon | Optometrist | 534 Larkfield Ctr, Santa Rosa, CA 95403-7503 | 2006-12-27 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
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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.