SUSAN BALDWIN (NPI# 1588693055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588693055 |
| Entity Type | Individual |
| Full Name | SUSAN BALDWIN |
| Credential | OD |
| Practice Address |
430 Blue Ravine Rd Folsom CA 95630-3402 |
| Mailing Address |
6435 Oakcreek Way Citrus Heights CA 95621-6105 |
| Practice Telephone | 9169610395 |
| Practice Fax Number | 9169610396 |
| Mailing Telephone | 9169610395 |
| Mailing Fax Number | 9169610396 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2018-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 11460T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL EYE SERIVCES | 13748 | 01 |
| CA | EYEMED | 941530 | 01 |
| CA | RAILROAD MEDICARE | P00008191 | 01 |
| CA | SD0114600 | 05 | |
| CA | NVA | 050643 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730656588 | Susan Marie Baldwin | Developmental Therapist | 1234 N Forrester Rd, La Porte, IN 46350-9630 | 2018-10-30 |
| 1598905127 | Susan Catherine Baldwin | Registered Nurse | 4267 Kindig Spur, Copley, OH 44321-1853 | 2009-02-23 |
| 1942494182 | Susan Baldwin | Preventive Medicine | 1000 S Fremont Ave Bldg A9, Alhambra, CA 91803-8800 | 2007-08-30 |
| 1174657985 | Susan Hamilton Baldwin | Pharmacist | 1000 Mckinley Parkway, Marion, OH 43302 | 2007-03-15 |
| 1366862260 | Susan Baldwin | Registered Nurse | 5500 Buckeystown Pike, Fmh Wellness Center, Frederick, MD 21703-8331 | 2014-04-18 |
| 1902135734 | Susan M. Baldwin | Speech-Language Pathologist | 296 Stafford Ln, Delta, CO 81416-2273 | 2009-12-07 |
| 1568580884 | Susan Mcchristy Baldwin | Occupational Therapist | 1 Emerson Dr, Windsor, CT 06095-3204 | 2007-03-26 |
| 1649347261 | Susan L Baldwin | Obstetrics & Gynecology | 4201 Garth Rd, Suite 207, Baytown, TX 77521-3167 | 2006-11-29 |
| 1588623748 | Susan Marie Baldwin | Physical Therapist | 103 Walker Dr, Edinboro, PA 16412 | 2006-03-17 |
| Street Address |
430 BLUE RAVINE RD |
| City | FOLSOM |
| State | CA |
| Zip Code | 95630-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619970035 | Kelvin Lum | Pharmacist | 430 Blue Ravine Rd, T-1098, Folsom, CA 95630-3402 | 2005-05-31 |
| 1407461569 | Quyen Cam Tuyen | Pharmacist | 430 Blue Ravine Rd, Folsom, CA 95630-3402 | 2020-09-14 |
| 1356969711 | Peter Adrian Alba Daza | Pharmacist | 430 Blue Ravine Rd, Folsom, CA 95630-3402 | 2020-07-10 |
| 1932747672 | Katelyn Marie Macias | Pharmacist | 430 Blue Ravine Rd, Folsom, CA 95630-3402 | 2019-12-12 |
| 1285185264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 430 Blue Ravine Rd, Folsom, CA 95630-3402 | 2016-10-14 |
| 1417351404 | Matthew Chase Stooksbury | Pharmacist | 430 Blue Ravine Rd, Folsom, CA 95630-3402 | 2014-10-20 |
| 1992074637 | Steve Provan | Pharmacist | 430 Blue Ravine Rd, Folsom, CA 95630-3402 | 2011-12-27 |
| 1649564501 | George Garfinkel | Pharmacist | 430 Blue Ravine Rd, Folsom, CA 95630-3402 | 2011-06-07 |
| 1750598546 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 430 Blue Ravine Rd, Folsom, CA 95630-3402 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724657 | Corrections and Rehabilitation | Pharmacy | 570 E. Natoma Street, Folsom, CA 95630 | 2020-03-12 |
| 1174153027 | Haley Harmon | Nurse Practitioner | 1621 Creekside Dr. Creekside Ob/gyn, Ste. 102, Folsom, CA 95630 | 2020-01-20 |
| 1932741469 | Ruma Ramani Jolly | Speech-Language Pathologist | 250 Mc Adoo Drive, Willow Springs, Apt.911, Folsom, CA 95630 | 2019-10-16 |
| 1750844767 | Sharon Munyaanyi | Registered Nurse | 1600 Creekside Dr Ste 3700, Folsom, CA 95630 | 2019-04-08 |
| 1104308345 | Stephanie Whatley | Optometrist | 2390 E Bidwell St Ste 400, Folsom, CA 95630 | 2018-09-04 |
| 1447746607 | Heather Michellee Thrapp | Behavioral Analyst | 125 Oak Ravine Way, Folsom, CA 95630 | 2018-07-10 |
| 1700370483 | Loretta May Delgado | Behavior Technician | 322 Crow Cany, Folsom, CA 95630 | 2018-06-18 |
| 1417448176 | Sound Support Inc. | Hearing Instrument Specialist | 610 East Bidwell Street, Suite A, Folsom, CA 95630 | 2018-05-29 |
| 1548750144 | Don Peterson Md, Sugical Assisting | General Practice | Mercy Hospital of Folsom (dignity Health Folsom), 1650 Creekside Dr., Folsom, CA 95630 | 2018-05-18 |
| 1245733328 | American Heritage Hospice Inc | Hospice Care, Community Based | 1837 Iron Point Rd Ste 180, Folsom, CA 95630 | 2018-03-14 |
| Find all providers in zip 95630 | ||||
| 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 |
|---|---|---|---|---|
| 1104308345 | Stephanie Whatley | Optometrist | 2390 E Bidwell St Ste 400, Folsom, CA 95630 | 2018-09-04 |
| 1780036103 | Samantha Vavricek | Optometrist | 410 Palladio Pkwy, Ste 1625, Folsom, CA 95630-8829 | 2016-07-09 |
| 1346696812 | Dr. Palmer N. Lee, Od Inc | Optometrist | 421 Blue Ravine Rd Ste 300, Folsom, CA 95630-3821 | 2016-05-13 |
| 1124408695 | Christopher White | Optometrist | 138 Hazelmere Dr, Folsom, CA 95630-5517 | 2015-05-31 |
| 1538471172 | Soby A Russal | Optometrist | 1937 Macdade Boulevard, Store 2867, Folsom, PA 19033-1214 | 2010-07-12 |
| 1609007533 | Nguyen Hung Quach | Optometrist | 1880 Prairie City Rd, Suite 130, Folsom, CA 95630-9593 | 2009-07-27 |
| 1851541494 | Jenny Hyosun Park | Optometrist | 705 E Bidwell St Ste 10, Folsom, CA 95630-3315 | 2008-09-19 |
| 1871769950 | Folsom Optometry Center | Optometrist | 1115 E Bidwell St Ste 124, Folsom, CA 95630-5554 | 2008-05-07 |
| 1548456650 | Patricia May Roemer | Optometrist | 997 Glennfinnan Way, Folsom, CA 95630-6111 | 2007-09-21 |
| 1487849394 | Purvi D. Patel | Optometrist | 410 Palladio Pkwy Ste 1625, Folsom, CA 95630-8829 | 2007-09-13 |
| Find all providers in FOLSOM | ||||
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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.