SUSAN SU (NPI# 1639553217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639553217 |
| Entity Type | Individual |
| Full Name | SUSAN SU |
| Credential | O.D. |
| Practice Address |
2999 Regent St Suite 425 Berkeley CA 94705-2190 |
| Practice Telephone | 5105486630 |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2016-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 15315 TLG | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487835625 | Susan Meifang Su I | Acupuncturist | 300 S Beverly Dr Ste 105, Beverly Hills, CA 90212-4804 | 2007-11-15 |
| 1407241995 | Susan Zhaosu Su | Family Medicine | 1500 S Main St, Fort Worth, TX 76104-4917 | 2015-04-01 |
| Street Address |
2999 REGENT ST SUITE 425 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-2190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962487421 | Shahin M Javaheri | Plastic Surgery | 2999 Regent St, Number 626, Berkeley, CA 94705-2146 | 2005-12-07 |
| 1326585449 | Golden Gate Urology Inc | Non-Pharmacy Dispensing Site | 2999 Regent St, Suite 612 & 626, Berkeley, CA 94705-2190 | 2017-01-26 |
| 1487908802 | Robert J. Stallone M.d., Inc. | Surgery | 2999 Regent St, Suite 622, Berkeley, CA 94705-2190 | 2012-11-07 |
| 1205115128 | Jaikrishna Balkisson,md & Laurie E. Schweitzer, Md | Specialist | 2999 Regent St, 300, Berkeley, CA 94705-2190 | 2011-08-09 |
| 1407150139 | Ryan Lawrence Horn, D.d.s. | Dentist | 2999 Regent St, Suite #403, Berkeley, CA 94705-2190 | 2011-01-10 |
| 1841593472 | Elizabeth Slass Lee A Medical Corporation | Plastic Surgery | 2999 Regent St, Suite 401, Berkeley, CA 94705-2190 | 2010-12-21 |
| 1215191002 | Unilab Corporation | Clinical Medical Laboratory | 2999 Regent St, Suite 101, Berkeley, CA 94705-2146 | 2008-07-11 |
| 1962678979 | Beth Schneider | Acupuncturist | 2999 Regent St, Ste 225, Berkeley, CA 94705-2146 | 2008-04-30 |
| 1023283025 | Williamtennantdds/williamgiannidds | Dentist | 2999 Regent St, Suite 714, Berkeley, CA 94705-2146 | 2008-04-30 |
| 1497926216 | Lauren E Ulrich | Physical Medicine & Rehabilitation | 2999 Regent St, Ste 225, Berkeley, CA 94705-2146 | 2008-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| 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 |
|---|---|---|---|---|
| 1780208330 | Grace Tseng | Optometrist | 200 Minor Hall University of California At Berkeley, Berkeley, CA 94720-0001 | 2020-05-29 |
| 1194368829 | Yasaman Kahrobaei | Optometrist | 2230 Durant Ave Apt 312, Berkeley, CA 94704-1546 | 2019-10-25 |
| 1194379917 | Yiyi Wang | Optometrist | 230 Minor Hall Berkeley Ca 94720, Berkeley, CA 94720-0001 | 2019-07-30 |
| 1578117404 | Kristi Choy | Optometrist | Uc Berkeley School of Optometry 230 Minor Hall Mc-2020, Berkeley, CA 94720-0001 | 2019-07-29 |
| 1184287641 | Your Two Eyes Optometry Inc. | Optometrist | 2110 Vine St Ste B, Berkeley, CA 94709-1577 | 2019-04-19 |
| 1699254714 | Kenneth Duy Tran | Optometrist | 200 Minor Hall Uc Berkeley School of Optometry, Berkeley, CA 94720-0001 | 2018-08-09 |
| 1609352798 | Richard Phan | Optometrist | 200 Minor Ln, Berkeley, CA 94720 | 2018-07-12 |
| 1972025302 | Crystal T Wang | Optometrist | 200 Minor Lane, Berkeley, CA 94720-2020 | 2017-07-07 |
| 1053867820 | Ying Zhao | Optometrist | 2632 Warring Street #10, Berkeley, CA 94704 | 2016-08-31 |
| 1528441086 | Alfred Vong | Optometrist | 230 Minor Hall Mc 2020, Berkeley, CA 94720-2020 | 2015-07-02 |
| Find all providers in BERKELEY | ||||
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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.